The Alameda Alliance for Health

Chi Partners assisted the Alameda Alliance for Health in developing an integrated long-term care system and coordinating Medi-Cal and Medicare benefits for seniors and persons with disabilities in Alameda County, CA.

Alameda County is a dual demonstration project site for the Long-Term Services and Supports (LTSS) portion of the Governor’s Coordinated Care Initiative, through which Medi-Cal managed care health plans (such as the Alameda Alliance) integrate medical services with the full continuum of long-term care services. This integration is achieved through enhanced care coordination between the managed care plans and LTSS providers, with all LTSS costs included in the capitation rate paid to the health plans.

Chi Partners worked with the Alameda Alliance for Health to:

• Identify all long-term services and supports providers in Alameda County
• Recommend a scope of services and potential service providers to be included in the integrated plan
• Evaluate the cost of long-term care services in preparation for entering into contracts with providers and/or integrating services into a managed care capitated rate
• Establish a single entry point (SEP) and uniform assessment tool
• Create a communications plan to keep all involved stakeholders apprised of the integration process and ensure that they have input into the recommendations