人口健康管理战略工作组
人口健康管理战略
The population health management strategy component of California Advancing and Innovating Medi-Cal (CalAIM) addresses the initiative’s objectives of managing member risk and need and improving quality and health outcomes. DHCS currently does not have a requirement that Medi-Cal managed care plans maintain a population health management strategy. Some Med-Cal managed care plans have a population health management strategy, often in response to NCQA requirements, but many do not. In the absence of a strategy, care can be driven by a patchwork of requirements that can lead to gaps in access and a lack of coordination. DHCS proposes that Medi-Cal managed care plans develop and maintain a patient-centered population health strategy. The population health management strategy is a cohesive plan of action for addressing member needs across the continuum of care, based on data driven risk stratification and standardized assessment processes. Each managed care plan would be required include, at a minimum, a description of how it will:
- 通过注重预防和健康服务来保证所有会员的健康;
- 持续识别和评估会员风险和需求;
- 在过渡期间、跨交付系统或设置以及通过有效的护理协调管理会员安全和结果;
- 识别并减轻健康的社会决定因素,减少健康差距或不公平。
年度管理式护理计划开放报名
该州已决定不再继续推行年度健康计划开放注册政策。 该提议将不再成为人口健康管理工作组会议的讨论主题。
工作组会议
所有工作组会议都将在萨克拉门托 K 街 1700 号一楼会议室举行。 请提前10分钟到达前台签到。
公众参与
欢迎公众通过电话或亲自参加所有会议。 所有工作组会议都将启用公共呼入选项。 请参见下文。
注意:现场空间有限,将按照先到先得的原则分配。 拨打电话的公众将被置于只听模式。 如果您希望通过电话参加,请使用以下链接注册(网络研讨会仅用于电话目的)。 注册后,您将收到一封包含您唯一的拨入和访问代码的确认电子邮件。 CalAIM 工作组将不会被记录。
会议日程
- 星期二,11 月5日, 2019
- 10:00 a.m. – 3:00 p.m
- 会议材料:
- 会议摘要
- 星期二,12 月3日, 2019
- 10:00 a.m. – 3:00 p.m.
- 会议材料:
- 会议摘要
- 星期二,1 月7日, 2020
- 星期二,2 月11日, 2020
联系我们
For any questions or concerns about this workgroup, please contact PHMSection@dhcs.ca.gov.