Gettysburg, Pa. (May 21, 2023) — As Medi-Cal reform rolls out, California provider organizations are faced with two strategic challenges – a range of new services and shifting reimbursement models. To help executive teams prepare, OPEN MINDS is hosting an Executive Roundtable, Financial Sustainability During Medi-Cal System Reform – What Provider Organization Executives Need To Know To Prepare For CalAIM. The session, being held virtually on June 8 at 1:00 pm ET, will feature OPEN MINDS chief executive officer, Monica E. Oss, and senior advisor Richard Louis, III. These advisors will discuss the CalAIM changes ahead and their implications on competitive advantage and financial sustainability.
“Whole person care models in integrated delivery systems, new Enhanced Care Management and Community Support services initiatives, new reimbursement requirements, and an expanded role for health plans are just a few of the changes ahead,” said Monica E. Oss. “Executive teams need to forecast the likely effects of these changes on their revenue and their margins – in order to develop a strategy for long-term sustainability. In our Roundtable, we’ll look at the likely effects of these changes.”
“For many provider organizations, CalAIM will require service line redesign, revenue enhancement, market repositioning, and adoption of new technology,” said Richard Louis, III. “To navigate these changes, organizations will need a plan for continued growth and the leadership to make it happen.”
To learn more about the event, visit https://openminds.com/event/financial-sustainability-during-medi-cal-system-reform-what-provider-organizations-need-to-know-to-prepare-for-calaim/.
To register for the event, visit https://attendee.gotowebinar.com/register/4860063927109368918. There is no cost to register, but free membership in the OPEN MINDS Circle is required.
This roundtable is part of OPEN MINDS quarterly CalAIM series and OPEN MINDS Circle Elite Executive Roundtable sessions, designed to help executive teams navigate the business, organizational, operational, and cultural changes of a market in turbulence. Each one-hour briefing outlines a field-tested approach for recovering from a crisis and developing a plan for organizational sustainability.
Monica E. Oss, M.S., Chief Executive Officer & Senior Associate, is the founder of OPEN MINDS. For the past three decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology, and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.
Richard Louis, III, Vice President – Western Region for OPEN MINDS, brings extensive experience as a behavioral health care administrator, business development specialist, and innovator of new service lines for behavioral health care organizations. His expertise in population health management program development, strategic planning, and payer mix diversification helped create programs that target high-cost and complex behavioral health populations.
About OPEN MINDS
OPEN MINDS is a national market intelligence, management consulting, and marketing services firm specializing exclusively in the markets of the health and human service field that serve consumers with chronic conditions and complex support needs. OPEN MINDS mission is to provide payers, service provider organizations, and technology and scientific firms that serve these consumers with the market and management knowledge needed to improve their organizational efficiency and effectiveness. Learn more at www.openminds.com.