This presentation took place at The 2022 OPEN MINDS Performance Management Institute. The California Advancing and Innovating Medi-Cal (CalAIM) initiative will implement broad reforms to California’s Medicaid delivery system, programs, and payment methodologies. The big question is how will CalAIM change the measures of success? What performance measures will get the focus of counties, health plans, and provider organizations? This session will provide an overview of the likely changes in performance measure in Medi-Cal – and how specialty provider organizations and primary care organizations can prepare for new measures of value and new value-based initiatives. This session will covered:

• Likely changes in the measurement of ‘value’ under CalAIM with possible new value-based reimbursement models and their metrics of success
• How specialty provider organizations and primary care organizations can build a metrics-based management system and culture for CalAIM success
• Case Study: Discovery Behavioral Health will shared their examples of value-based contracts with health plans, metrics management and performance measurement strategies to achieve aligned payer-provider success

Featured Speakers:

• Alyson Albano, M.S., LMFT, PMH-C, Director of Clinical Quality, Discovery Behavioral Health
• Alexa Baghdassarian, M.S., LMFT, Director of Operations, Discovery Behavioral Health
• Diane Sayegh, LCSW, Director of Utilization Review, Discovery Behavioral Health
• Richard Louis, III, Vice President, Western Region, OPEN MINDS