Featured
Enhanced Care Management (ECM) · Medicaid · California · Funding
Empowering Families, Transforming Futures: Carenodes & Esteem Health's PATH Marketplace Impact
Discover how Carenodes, a trusted PATH TA Marketplace vendor, partners with Medi-Cal providers like Esteem Health to deliver trauma-informed care, support foster families, improve youth mental health, and transform outcomes for California's children, youth, and families through expert-led, coordinated care solutions.
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Tools · Data · Resource
Introducing the Care MAP Tool: A Comprehensive Guide
An Excel-based framework that helps providers coordinate complex care — with overview and scenario modules, a resource library, and an FAQ. Download it and elevate your care management.
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Data · Doulas · Maternity Care · California
Dashboards: Breastfeeding Intention and Duration Indicators
Key measures tracking breastfeeding intentions and practices among new mothers — from exclusive vs. combination feeding to duration through three months — to shape support programs and inform policy.
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California · Contracting · Tools · ECM
CalAIM Budget Estimator Tool: A Budget Template for CBOs Considering CalAIM Contracting
An Excel template helping community-based organizations estimate costs and revenue for Medi-Cal ECM and Community Support Services, with built-in assumptions and margin projections to support contract negotiations.
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California · ECM · Health Equity · Managed Care · Data · Tools
DHCS Quarterly ECM and Community Supports Report: Insights and Future Directions
The DHCS Q3 2023 ECM and Community Supports report shows the progressive rollout under CalAIM — expanding provider participation and diversifying services across the state.
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California · ECM · Managed Care · Medicaid · Health Equity
Pioneering Progress: CareNodes' Strategy for Advancing Health Equity through Data, Partnerships, and CalAIM
Our approach to health equity rests on four pillars: robust data capacity, cross-sector partnerships, leveraging California's CalAIM, and equitable access.
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Business · Mental Health · Capitation · Funding · Fee Schedules
Value-Based Payment Models in Behavioral Health: State Innovations and Outcomes
How states are reinventing behavioral-health payment — capitated models, care-coordination programs, and quality incentives in New Hampshire, Tennessee, Vermont, and the CCBHC initiative — to improve outcomes and sustain financing.
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Schools · Funding
Strategies for Funding School Mental Health Services: Braided and Blended Funding
A guide to braided and blended funding — combining multiple streams into a sustainable foundation for comprehensive school mental-health support, with tips for implementation and stakeholder buy-in.
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Mental Health · Schools · Data · California · Youth
Navigating the Landscape of Youth Mental Health Hospitalizations in California
In 2019 California saw 5.3 youth mental-health hospitalizations per 1,000 (ages 5–19), with sharp county variation — underscoring the need for better access, education, and early intervention.
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Mental Health · Schools · California
Bridging Healthcare and Education: A New Frontier for Mental Health Services
Momentum is building to bring mental-health and substance-use services into school settings — dismantling access barriers and supporting students' academic, social, and emotional growth.
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Managed Care · Academy
Managed Care Business Models 101 - Digital Therapeutics & Health Technology
This post provides an in-depth discussion on healthcare business models, focusing on managed care, and is aimed at healthcare entrepreneurs, especially those new to the sector.
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California · Medicaid · Data · Managed Care · ECM
Exploring the Impact of Enhanced Care Management and Community Support Services in California
Explore the impact of California's ECM and Community Support Services in 2022. Our blog dives into their statewide implementation, member services, and demographic insights.
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California · Medicaid · Managed Care
Historic Pay Raise for Medi-Cal Providers (California Medicaid)
What makes these increases noteworthy is their scale. For each eligible code, rates are set to be at least 87.5% of the lowest Medicare rates in California. This significant financial boost is aimed at encouraging more providers to participate in the Medi-Cal program, thereby expanding access to healthcare services for enrollees.
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Managed Care · Network Management · Contracting · Legal · Tools · Resource
A Managed Care Resource: Navigating Legal Complexities in Healthcare
The Managed Care Legal Database is a resource identifying how state and federal statutes and regulations address many issues that may occur between private payers and physicians, such as prior authorization, credentialing, network adequacy, out-of-network payment, and contract termination.
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