Presentation by: Pamela Mokler, NIMRC Consultant, Pamela Mokler & Associates; Ana Reza, Vice President of Patient Access Services, Hospital Association of Southern California (HASC); Avi Klein, Chief Strategy Officer, Horizon Recuperative Care; Tiffany Hayes, Recuperative Care Program Manager, L.A. Care Health Plan; Edward Mariscal, Director of Public Programs and LTSS, HealthNet; Rebecca Farfan, Market Director of Care Coordination Southern California, CommonSpirit; Benjamin Supkoff, Manager of Care Coordination, Northridge Hospital Medical Center, CommonSpirit
Description: CalAIM opened the door for Managed Care Plans to pay for Recuperative Care with Medi-Cal funds. To help facilitate successful partnerships between payers and providers, recuperative care providers, MCPs and hospitals in the Los Angeles area jumped at the opportunity to create the L.A. Recuperative Care Learning Network (LARCLN). More than two years later, referral processes, CalAIM reimbursements and other challenges have been resolved — thanks to the hard work of LARCLN stakeholders’ commitment to getting partners to the table, breaking down communication barriers, and creating a streamlined, collaborative system of care other counties are beginning to replicate.
Presentation Materials:
About the Event:Â
The National Institute for Medical Respite Care (NIMRC), a special program of the National Health Care for the Homeless Council (NHCHC), hosted the inaugural California Recuperative Care Symposium, themed “Cross-Organizational Solutions for a Seamless System of Care,” was held on September 12-13, 2024, in Sacramento, California. The above presentation materials are resources that were shared in conjunction with the event. Not all resources were developed by NHCHC. Please reference each individual file for any information related to copyright ownership or distribution restrictions.