Program Enablement
CalAIM (California Advancing and Innovating Medi-Cal)
is a multiyear waiver to transform California’s Medi-Cal program and enable it to work more seamlessly with other social services for the state’s most vulnerable populations.
SUCCEED IN CALAIM
Find Us on the CalAIM TA Marketplace
COPE Health Solutions is a vendor on the CalAIM TA Marketplace with state funding available to support your organization’s success with CalAIM.
STRATEGIC PARTNER FOR SUCCESS
How We Can Help
CalAIM Strategic Alignment & Operational Readiness Assessment
- In-depth assessment of infrastructure capabilities against CalAIM requirements
- Align current business objectives & strategy to maximize CalAIM benefits and funding to achieve the greatest impact and ROI
- CalAIM implementation roadmap to support provider transformation and care model redesign
CalAIM Process and Best Practice Redesign, Implementation and Optimization
- Data capture, analytics, and reporting
Managed Care Plan contracting, billing and claims - Member identification, stratification and outreach
- Documentation and workflows
- Social Determinants of Health assessments & community partner engagement
- Provider communication & engagement strategies
CalAIM Enhanced Care Management (ECM) Care Model Design and Integration
- Care Model and Clinical Redesign tailored to populations of focus
- Care Team Structure and Education/Training
- SDOH and CBO Integration and Coordination
- HEDIS Quality and SDOH Gap Closure
- Patient Outreach and Engagement
Data & Technology Infrastructure
- Configuration of analytics and data models to meet CalAIM requirements and identify target populations
- Risk stratification for high-risk member identification, outreach & enrollment
- Platform & technology best practices to accelerate member engagement & improve clinical quality outcomes
ECM/CS Provider Identification and Engagement
- Asset mapping of providers within identified service areas
- Strategic alignment & cross sector collaboration
- Contract development & performance management
- Operational workflows and care plans that can be shared across entities to support collaborative efforts
Managed Care Contracting
- Comprehensive financial modeling to support assessment of financial implications and operational requirements
- Development of contracting terms & operational tools for quality and performance management
Workforce Development
- Development and implementation of customized competency based CalAIM training programs (e.g., analytics, care models, member engagement)
- Development and implementation of hiring processes, employee engagement and training and performance management tools
- Implementation of workforce pipeline & onboarding solutions
Insights
Driving Value with Analytics in CalAIM
Explore key considerations for provider data strategies and success in CalAIM.
Insights
Helping Healthcare Leaders Navigate a Rapidly Evolving Healthcare Landscape
Browse our library of latest thinking for insights and analysis to guide your value-based care and population health management strategy.
Connect with our Experts
Let’s Strengthen Your CalAIM Delivery Model
Whether you are evaluating readiness, scaling ECM and Community Supports, optimizing data-sharing, or improving outcomes measurement, our team can guide strategy, operations, network coordination, and performance improvement.