加利福尼亚州拨款 1.45 亿美元,用于扩大医疗服务提供者提供 Calaim 服务的能力

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加利福尼亚州拨款 1.45 亿美元,用于扩大医疗服务提供者提供 Calaim 服务的能力
资金将帮助医疗服务提供者为会员实施全面的、以人为本的护理协调
萨克拉门托-- 加州医疗保健服务部(DHCS)今天宣布向所有 58 个县的 153 家机构拨款 1.455 亿美元,用于加强对加州医疗保险成员的服务。加强护理管理(ECM)和社区支持是加州推进和创新加州医疗保险(CalAIM)的核心组成部分,加州医疗保险部对加州医疗保险进行了广泛的改革,以创建一个更加协调、以人为本和公平的医疗系统,为所有加州人服务。他们为有复杂需求的 Medi-Cal 会员提供量身定制的社区服务,包括面对面的护理协调、住房支持和其他重要资源。这些奖项是 "提供就医机会和转变健康状况(PATH)"能力和基础设施、过渡、扩展和发展(CITED)计划的一部分,该计划帮助当地医疗服务提供者提高提供以社区为基础的全人医疗服务的能力。
为支持扩大 ECM 和社区支持,DHCS 通过其 PATH 计划,包括 CITED、合作规划和实施以及技术援助市场,向 2,200 多个组织提供了超过 16.6 亿美元的资金。这些努力已经惠及 37.3 万多名 ECM 注册者,提供了 100 多万次社区支持服务,并极大地扩展了儿童和青少年的获取途径,仅 2025 年初就同比增长了 120%。
“PATH CITED represents a vital investment in the future of Medi-Cal and the health of California,” said DHCS Director Michelle Baass. “By empowering local providers, many of whom serve historically under-resourced communities, we are strengthening the foundation of a more equitable, person-centered delivery system. Together, we’re creating lasting change that connects Medi-Cal members to the care and support they need to live healthier, more fulfilling lives. I’m proud of the progress we’ve made and the partnerships that made it possible.”
Recent data show that investments like these are resulting in long-term savings for California’s Medi-Cal program. Community Supports have been proven cost-effective, reducing avoidable emergency department visits, hospitalizations, and long-term care use. By investing now, DHCS is helping ensure a more sustainable, efficient, and equitable health care system for the future.
请观看以下视频短片,直接聆听以往获奖者讲述 PATH CITED 资金如何帮助他们扩大服务、雇佣员工并与社区建立更紧密的联系。
重要意义:ECM 和社区支持为有复杂需求的 Medi-Cal 会员提供量身定制的社区服务,包括上门护理协调、住房支持和其他重要资源。PATH CITED 正在帮助 ECM 和社区支持提供者过渡、扩大和发展其能力,以便为成员社区提供本地协调护理。获奖者将把资金用于
- 聘用新员工,提供外联和基于社区的企业内容管理服务。
- 支持门诊临床服务,包括心理健康和药物使用障碍治疗。
- 购买信息技术设备,帮助病人获得 Medi-Cal 福利和服务。
- 支持提供 ECM 和社区支持服务的实体之间交换健康信息。
- 加强监测和数据报告系统。
WHAT THEY’RE SAYING: “ECM and Community Supports are transforming how we care for Medi-Cal members with diverse and often intensive needs,” said Susan Philip, Deputy Director of DHCS’ Health Care Delivery Systems. “Just like in prior PATH CITED rounds, we are investing in the infrastructure and workforce that make whole-person care possible, ensuring that providers have the tools they need to deliver timely, compassionate, and coordinated care.”
“Thanks to PATH CITED support, Sanctuary Centers of Santa Barbara has turned an idea into a thriving clinic that continues to expand its reach and impact,” said Sanctuary Centers of Santa Barbara Interim CEO Stephanie R. Drake, PhD. “The Integrated Health Clinic is a model for collaborative, patient-centered care, bridging critical gaps in services and ensuring that Medi-Cal members receive the timely, high-quality, and compassionate care they deserve.”
“We did not have the staffing to follow up with people once they were housed, which led to more instability,” said Ronni Duncan, Care Management Manager at Adventist Health, a CITED awardee from previous rounds. “PATH CITED funds have allowed us to expand staffing, fill service gaps, and let case managers focus on their specific roles. Most of all, these programs have helped build community and provide hope and healing to people who may not have had access to the healing support we offer.”
“Thanks to PATH CITED funding, we are building a growing team of skilled case managers to meet our patients where they are – in homes, coffee shops, and throughout their communities to build trust and transform care,” said Jeniffer Zamora, Community Health Program Manager at Peach Tree Health, a CITED awardee from previous rounds.
“Supported by PATH CITED funding, Rady Children’s Hospital’s ECM program has expanded from San Diego County to also serve Riverside County,” said Russell Gagui, ECM Manager at Rady Children’s Hospital, a CITED Round 2 awardee. “As we grow, we remain committed to the principles that make pediatric ECM work: hiring from within the communities we serve, designing systems that support families’ real-world needs, and centering every effort around improving the lives of children with complex medical and social needs.”
“Through the CITED grants, we have been able to expand access to recuperative care and strengthen care coordination by hiring additional staff as well as updating our internal data systems, which has allowed us more time to focus on the acute needs of our clients,” said Tracy Wilson, Co-Founder and CEO of Rooted Life, a CITED Round 3 awardee. “CITED grants have been pivotal in allowing us to create robust program where we can focus on the stability and recovery of our clients.”
HOW WE GOT HERE: PATH is a five-year, $1.85 billion initiative launched in 2022, providing funds for community-based organizations, county agencies, hospitals, Tribes, and other community providers to support improved health care management and delivery through the Medi-Cal system. Recipients of PATH CITED awards are committed to serving historically under-resourced and underserved populations.
WHAT’S NEXT: Round 4 is the final PATH CITED funding round. DHCS will continue to listen to Medi-Cal members and providers to improve service delivery, making care more accessible, effective, and responsive to California’s diverse communities. This also includes utilizing the other PATH workstreams to listen intentionally and provide technical assistance, such as through the Technical Assistance Marketplace and the regional Collaborative Planning Implementation convenings. For more information about the PATH CITED initiative, visit the PATH website.
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