Discussion Guide for the 2019 Regional Workgroups: Care Coordination

July 16, 2019

Over the next six months, ITUP is holding its annual regional workgroups across ten regions in the state, including densely populated urban centers and remote rural areas, North and South, well-resourced and underserved communities. ITUP workgroups bring together a diverse range of local health care leaders, including county staff, clinics, hospitals, medical providers, health plans, community-based organizations and advocates.

In 2019, ITUP workgroups will take stock of the progress and remaining challenges to achieving universal coverage. In addition, this year ITUP will focus on improving access and services for Medi-Cal recipients through care coordination, case management and care management across delivery systems.

This discussion guide provides general background to support the 2019 regional workgroup conversations around care coordination challenges, best practices and policy recommendations.

Workgroup Discussion Questions

  1. What are the barriers and challenges to effectively coordinating health care and related services for Medi-Cal recipients in the region? What are some of the largest failures of care coordination in Medi-Cal? How do the challenges differ by client population?
  2. What strategies, work arounds and other efforts are local agencies, providers and community organizations employing to help address care coordination challenges? What innovations and best practices are happening locally?
  3. What policy change or flexibility would make the most difference in effectively meeting the needs of Medi-Cal recipients?
  4. What are some successes of care coordination? What does good care coordination look like? What does success look like and how should it be measured? What can and should care coordination accomplish for the recipients served? For the system overall?
  5. What is the status of local care coordination initiatives such as Whole Person Care, Whole Child Model, Health Homes, Cal Medi-Connect, and others?

Document Downloads

Framing a Conversation on Improving Services for Medi-Cal Patients (PDF)

Challenges to Coordinated and Integrated Care: Discussion Draft (PDF)