CalAIM is a new California program that is supposed to transform Medi-Cal, which is the state’s health care program providing no-cost and low-cost coverage to some of our most vulnerable residents.
Californians are paying billions of dollars into CalAIM, including for its new ‘Enhanced Care Management’ (ECM) benefit to treat what state leaders describes as “the whole person” – or in other words – to address a patient’s medical and social needs.
But, in an exclusive interview with NBC Bay Area’s Investigative Unit, a nurse currently employed with Contra Costa Health Plan (CCHP), a Medi-Cal managed care plan, said the county’s version of ECM is ignoring medical needs, inflating caseloads and harming patients.
“It’s been really heartbreaking because we are supposed to be helping these