- Understanding managed care health plan expectations for coordinated provider organization service delivery, cost effective programming and aligned outcome goals.
- New service line development and provider organization innovations for successful deployment of new services for Medi-Cal beneficiaries.
- Keys to successful health plan partnership and coordination in the new CalAIM environment.
How California Health Plans Will Change Their Contracting Models & Network Management Under CalAIM
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During our OPEN MINDS Circle Elite Executive Roundtable Webinar on August 18, Rafael Gonzalez-Amezcua, M.D., Chief Medical Officer of Aetna Better Health of California and Beau Hennemann, Regional Vice President of Local Engagement & Plan Performance for Anthem Blue Cross discussed the process and experience of California managed care plans in their engagement of provider organizations in the creation of new service lines. Dr. Gonzalez-Amezcua and Mr. Hennemann shared the progress made in the health plan contracting process and status of the first six months of new contract development and implementation of new services under CalAIM.
This is the third in a special quarterly series from OPEN MINDS—the last in the 2022 series is planned for November 17. The series features California Case Studies focused on strategy, health plan contracting, financial assessment, market services, and CalAIM preparedness regarding program readiness, implementation, and technology. All past sessions are available on demand.
Executive attendees learned about: