Over the next five years, the goal of CalAIM is to address the upstream drivers of deteriorating health — things like food insecurity & housing instability — in an effort to reduce costly emergency department visits, hospitalizations and nursing home stays
during a two-year period, according to an early analysis by UCLA researchers. As a result of the success, federal officials granted a waiverA CalAIM case worker “was a hell of a godsend. If you don’t know the ins and outs, you just get spit out. You get absolutely no help at all.”In Placer County, David Norris, 67, was one of the patients who benefited from the experimental programs.
Norris called Perbetsky a “hell of a godsend. If you don’t know the ins and outs, you just get spit out. You get absolutely no help at all. That’s where Todd…helps me and people like me navigate the waters and get all squared away.”Wraparound services aren’t new, but they haven’t always been easy to access nor have they been directly connected to medical care. Walk through the wrong door and you might not get any help at all.
One such barrier is making sure patients don’t get lost between systems that don’t traditionally talk to one another. “Most of them were types of positions that existed in the county before, but they were very siloed,” said Emily Parmenter, the pilot’s program manager at Contra Costa County Health Services. “So we brought them all together in these multidisciplinary teams where they had a wealth of experience…and were able to provide case consultations across divisions.”
“We found that after being involved in the program for a year, our hospital admission rates decreased by 25%.”Despite their promise — or perhaps because of it — advocates say the transition from pilot programs to CalAIM will need to be watched carefully.
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