Newsfeed

While Admirable, CalAIM Is Struggling

California has fashioned an ambitious healthcare and social service experiment known as CalAIM, but some aspects on the community health and services front are struggling. Many states have mimicked California by requesting similar but less ambitious initiatives through Medicaid. With the majority of health outcomes tied to social factors and not underlying clinical conditions, it is a worthy pursuit overall.  My fear is that California may be trying too much too quickly.

(Article may require a subscription.)

#ca #calaim #healthcare #sdohs #socialdeterminants #medicaid #managedcare

https://www.modernhealthcare.com/providers/california-medicaid-medi-cal-calaim-gavin-newsom-community-health-workers-nonprofits

Bipartisan Senate Bill Would Reform Medicare Primary Doc Pay

A bipartisan bill would tell the Centers for Medicare and Medicaid Services (CMS) to establish hybrid payments to reward primary care providers in the Medicare fee-for-service (FFS) program who provide the best care to their patients, including reducing patients’ emergency visits, hospitalizations, excess specialist services, and other big cost drivers.

Additional article: https://insidehealthpolicy.com/daily-news/whitehouse-cassidy-unveil-primary-care-payment-reform-related-rfi

(Some articles may require a subscription.)

#primarycare #medicare

https://www.fiercehealthcare.com/providers/senators-both-sides-aisle-propose-primary-care-payment-reform-seek-industry-feedback