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Home Based Care Industry Leaders Bruce Greenstein & Gwen Guillotte (LHC Group) On Risk & Partnerships

PopHealth Podcast

Release Date: 06/07/2021

Medi-Medi/Dual Eligibles: California DHCS' Anastasia Dodson (Medicare Innovation & Integration) show art Medi-Medi/Dual Eligibles: California DHCS' Anastasia Dodson (Medicare Innovation & Integration)

PopHealth Podcast

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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Health Net Medi-Cal President Martha Santana-Chin show art Health Net Medi-Cal President Martha Santana-Chin

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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 Huang from CA DHCS and Medi-Cal Eligibility: Changes After The Public Health Emergency show art Yingjia Huang from CA DHCS and Medi-Cal Eligibility: Changes After The Public Health Emergency

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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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Paige Brogan- CalAIM Principal, Blue Shield of California Promise Health Plan, on CalAIM show art Paige Brogan- CalAIM Principal, Blue Shield of California Promise Health Plan, on CalAIM

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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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Children's Behavioral Health Visionary Alex Briscoe, Principal of California Children's Trust show art Children's Behavioral Health Visionary Alex Briscoe, Principal of California Children's Trust

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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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California DHCS Chief Quality Officer Palav Babaria & 2023 Population Health Management Launch show art California DHCS Chief Quality Officer Palav Babaria & 2023 Population Health Management Launch

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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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Partnership HealthPlan of California's Rebecca Boyd Anderson and Population Health show art Partnership HealthPlan of California's Rebecca Boyd Anderson and Population Health

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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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CalOptima CEO Michael Hunn, a Former Priest, Discusses Medi-Cal and CalAIM show art CalOptima CEO Michael Hunn, a Former Priest, Discusses Medi-Cal and CalAIM

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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 Cynthia Carmona Shares How CalAIM Commmunity Supports Benefit Medi-Cal Members show art L.A. Care's Cynthia Carmona Shares How CalAIM Commmunity Supports Benefit Medi-Cal Members

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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.

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New SCAN Health Plan Initiatives: CalAIM and PACE (myPlace Health) show art New SCAN Health Plan Initiatives: CalAIM and PACE (myPlace Health)

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SCAN's Sr. VP of Healthcare Services Eve Gelb joins SCAN backed myPlace Health Founder and CEO Robbie Pottharst in a 2-part episode that explores how SCAN is leveraging innovative models of care (ie CalAIM, PACE) that bring together both health and social services that historically were either unavailable and/or unable to be managed well with traditional models of care.

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Gwen 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.