Opening Discussion Topic:
Given that Medi-Cal was actually created in 1965, as the California Medical Assistance Program, a few months before national legislation was passed, it’s not surprising that California’s brand of Medicaid has always been at the forefront of innovation. Today, the program covers over a third of California’s 40 million residents, most of whom are in managed care programs, but not all. That’s about to change with California Advancing and Innovating Medi-Cal, aka CalAIM.
During our Group Discussion, in addition to hearing What’s Up?, we’ll look to discuss how your healthcare business is currently involved with Medi-Cal, and if you’re considering providing “enhanced care management” (ECM) or “in lieu of services” (ILOS) to managed Medi-Cal beneficiaries. Our Featured Member, Greg Buchert, MD, will then present CalAIM, its broad delivery system, program and payment reforms which it intends to launch January 1, 2022.
Greg Buchert, MD, created GSB Health Management Solutions to leverage his decades of experience in healthcare delivery and payment – particularly for the underserved. A pediatrician by training, Greg served at CHOC and Children’s Hospital of Oakland, before becoming the founding Medical Director, and later COO, of CalOptima. Then, for Centene, he was the CEO of California Health & Wellness, before the Medicaid giant purchased Health Net, where Greg became the CMO. Most recently, he was the President & CEO of Blue Shield of California Promise Health Plan, serving 500,000 Medi-Cal and Medicare beneficiaries. He also serves on the Dean’s Advisory Board of his alma mater, Tulane School of Public Health and Tropical Medicine.
Apr 16 May 21 Jun 18 Jul 16 Aug 20 Sep 17 Oct 15 Nov 19 Dec 1st (Combined with OC)
Our Los Angeles Healthcare Round Table meets on the 3rd Friday of each month. We have been meeting via ZOOM since April, and look forward to meeting again in person – once we can do so safely, hopefully soon!
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