On-Demand Learning

CalAIM: Medical Necessity Behavioral Health

Implementation of CalAIM is a multiyear process and will influence how patient care is provided in numerous areas. Review this education brief to learn more about Medi-Cal Specialty Mental Health Services, what may be defined as ‘medical necessity,’ the CalAIM proposal and anticipated changes, and answers to the most common questions about the CalAIM reforms […]

CalAIM: Behavioral Health Payment Reform

Upcoming changes to Medi-Cal will have a tremendous impact on hospitals. One of those changes is related to the Behavioral Health Payment Reform. Review this education brief to better understand realignment, proposed behavioral health payment reform and the two phases of implementation.

CalAIM: Managed Care and Medi-Cal

Overview

The CHA case manager committee identified a need — case managers needed additional training opportunities as well as ongoing support.  And case management leaders needed training tools that were accessible, cost-effective, and which could be customized to meet the unique needs of each individual and hospital.

CalAIM: In Lieu of Services

Overview

The CHA case manager committee identified a need — case managers needed additional training opportunities as well as ongoing support.  And case management leaders needed training tools that were accessible, cost-effective, and which could be customized to meet the unique needs of each individual and hospital.

No Surprises Act — Hospital Contracting and Compliance Implications

The No Surprises Act was signed into law on Dec. 27, 2020, as part of the Consolidated Appropriations Act of 2021. It addresses surprise medical billing for federally-regulated plans and in states without surprise billing laws. Most sections of the legislation are effective Jan. 1, 2022. As the name implies, this Act prohibits patients from getting surprise bills in certain out-of-network situations. The Departments of Health & Human Services, Treasury and Labor will issue regulations and guidance to implement numerous provisions. 

Developing Effective Partnerships in the Post-Acute Space Webinar

Originally recorded on January 19, 2021

Recording

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Overview

Health care organizations evaluating their business models and strategic alignments increasingly focus on the continuum of care. Many recognize the clinical and financial opportunities available to organizations who can partner effectively in the post-acute space.

COVID-19: Hospital Visitor and Support Person Laws and Guidelines Webinar

Originally recorded October 30, 2020

Recording

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Overview

Visitation challenges have become increasingly complex as hospitals address access issues and must comply with changing COVID 19-related requirements and guidance. Establishing guidelines to determine who can visit which patients while keeping patients and staff safe can prove challenging. This webinar can help.