Home Based Care Industry Leaders Bruce Greenstein & Gwen Guillotte (LHC Group) On Risk & Partnerships
Release Date: 06/07/2021
PopHealth Podcast
Dr. Schultz shares how his work serving individuals goes beyond just the Inland Empire and San Diego, but also to the Himalayas. He also shares how Federally Qualified Health Centers like Neighborhood Healthcare provide services for individuals that may otherwise struggle to access primary and other medical care.
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California Department of Health Care Services' Anastasia Dodson helps give an overview of the "dual eligible" population in California and how upcoming changes will impact the delivery of care for Californians who have both Medicare and Medi-Cal (Mediciad in California), now called Medicare Medi-Cal Plans (MMPs or Medi-Medi plans), for Exclusively Aligned Enrollment Dual Eligible Special Needs Plans (EAE D-SNPs).
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Martha, a Medi-Cal beneficiary as a child in Ventura County, shares how her journey in the managed Medi-Cal world has ultimately led her to help lead a team that manages the care of millions of lives in California, including many that receive care in rural areas.
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Yingjia, who serves in the role of Assistant Deputy Director, Health Care Benefits and Eligibility for California's Department of Health Care Services, joins the show to share how the significant eligibility adjustments shown during the pandemic (ie public health emergency) will be unwound and what that means to some of the millions of Californians on Medi-Cal.
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Health plan and CalAIM expert Paige Brogan joins the show to share how the opportunity to make a big impact inspired her to join BSC Promise Health Plan. Paige gives some insight into the early days of CalAIM and while she is enthiusiastic about CalAIM, she shares why other medical leaders may be more in a sit and wait approach before celebrating the initiative.
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Alex Briscoe has gone from school counselor in Oakland to one of California most respected visionary's for kids' behavioral health. Alex joins co-hosts April Stewart and Gavin Ward to share how California Children's Trust is reshaping how we think about children's mental health and why a diagnosis is not required for our kids to get the support they need.
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Palav joins host Gavin Ward to discuss the new Popation Health Management efforts that DHCS is launching in 2023 in California. Before getting into the details, Palav reveals her competiveness in board games and where her passion for serving the safety net was inspired.
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Rebecca shares how her journey to become a nurse and experience with worker's compensation set a foundation that allowed her to build a population health department at Partnership Health Plan of California.
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Michael joins the show ande breaks down new opportunities for care and support that are available through California's new CalAIM initiative. CalOptima is the largest insurer in Orange County, caring for over 25% of the Orange County population, which may be a surprise vs. what the general public may think of when it comes to the OC demographics.
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L.A. Care's Senior Director of Safety Net Initiatives' background in policy and community service helped prepare her to serve beneficiaries for California's largest managed Medi-Cal provider. Cynthia breaks down how the new CalAIM community supports are helping equip L.A Care to better serve its 2+ million membership.
info_outlineGwen and Bruce joined the show from their headquarters in Lafeyette where LHC, one of the nation's largest providers of home based care, has figured out some of the "secret sauce" to land joint ventures with some of the nation's largest health systems.