The pandemic has accelerated trends moving the delivery of care into the home or community. Yet, care at home largely remains the province of better resourced individuals, due to limited funding by government programs. Medicaid, the federal/state program of health care for people of lower income, has the potential to address these equity issues through waivers or plan amendments.

CalAIM (California Advancing and Innovating Medi-Cal) is a comprehensive, multiyear effort led by the California Department of Health Care Services that seeks to implement broad delivery system, program, and payment reform across California’s Medi-Cal program.

In this clip from The Health Storm, Hope Glassberg discusses the challenge of measuring the value of primary care without access to meaningful hospital admission data and the need for data portability.

At this crucial moment before a second wave of COVID-19 crests and crashes, policymakers should confront a significant payment problem brewing within our primary-care safety net that, if unaddressed, threatens care for millions of Americans.

In communities across the country, staggering unemployment rates and failing infrastructure go hand in hand with significant healthcare challenge

The need to bring high-quality treatment and management of depression, anxiety, and other common behavioral health conditions into primary care has been well documented, but for small to medium-size practices the complex models that are the standard for integrating medical and behavioral care are often beyond their resources.

This chapter traces the history of Montefiore’s Accountable Care Organization (ACO) development including care management experience prior to the Affordable Care Act, administrative structure, and the use of care management as a central element in its ACO.