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人口健康管理策略工作小組​​ 

人口健康管理策略​​ 

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:​​ 

  • 通過專注預防和健康服務,保持所有會員健康;​​ 
  • 持續識別和評估會員的風險和需求;​​ 
  • 在過渡期間、跨交付系統或設置,以及透過有效的護理協調管理成員安全和成果;以及​​ 
  • 識別和緩解健康的社會決定因素,並減少健康差異或不平等。​​ 

年度管理護理計劃公開報名​​ 

該州決定不繼續遵循年度健康計劃公開註冊政策。 這項建議將不再是人口健康管理工作小組會議中討論的主題。​​ 

工作小組會議​​ 

所有工作小組會議將在沙加緬度,位於一樓會議室 1700 K 街舉行。 請提早 10 分鐘到達前台登記。​​ 

公眾參與​​ 

歡迎公眾通過電話或親自出席所有會議。 公開呼叫選項將在所有工作群組會議中啟用。 請參閱下面。​​ 

注意:面對面空間有限,以先到先得的方式分配。 通話的公眾人員將處於僅收聽模式。 如果您希望通過電話參加,請使用以下鏈接註冊(網絡研討會僅用於電話目的)。 註冊後,您將收到一封確認電子郵件,其中包含您唯一的撥入和訪問代碼。 CalAIM 工作群組將不會被記錄。​​ 

會議時間表​​ 

聯絡我們​​ 

For any questions or concerns about this workgroup, please contact PHMSection@dhcs.ca.gov.​​ 

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