Upward Health Delivering Enhanced Care Management Services to Central California Alliance for Health Members
April 17 2024 - 10:00AM
Business Wire
Upward Health announced today its partnership with Central
California Alliance for Health (the Alliance) to deliver Enhanced
Care Management (ECM) services to a high-complexity cohort of the
Alliance’s membership. The Alliance provides health insurance to
over 428,000 members in Merced, Monterey and Santa Cruz counties
through California’s Medicaid program, Medi-Cal. Upward Health has
been delivering its in-home, whole-person model of care to
high-risk and high-need patients in California for several years,
and it has served as an ECM provider in multiple counties since
2022.
ECM is a comprehensive, community-based care management service.
The program is part of the CalAIM (California Advancing and
Innovating Medi-Cal) multi-year plan to integrate social services
and improve outcomes for Medi-Cal beneficiaries. The Alliance is
eager to increase provider access to deliver on these initiatives,
across the five counties it serves. Upward Health plans to launch
as one of the Alliance’s few providers delivering ECM services in
Merced County and will expand to additional counties over time.
"We are excited for our members to receive enhanced care
services to assist them in being their healthiest selves, and
partnering with Upward Health allows us to better serve these
members’ health needs, especially in more rural service areas,”
said Michael Shrader, the Alliance’s Chief Executive Officer.
Patients referred to ECM with Upward Health will work with a
dedicated Care Specialist in this high-touch program focused on
coordinating physical, behavioral, and social services. Depending
on patient needs, the service may include help finding a doctor,
ensuring access to needed medications, or applying for housing.
Beyond coordinating services, the ongoing support and motivation
provided by the Care Specialist is critical to patient
outcomes.
“I’ve had the opportunity to join our team for numerous ECM
patient visits, and I’ve seen the tremendous impact this program
makes for those in need,” said Glen Moller, Upward Health's Chief
Executive Officer. “I’m excited to continue to grow our ECM
footprint with the Alliance, and to increase the number of patients
we can assist across California.”
About Upward Health
Upward Health is an in-home multidisciplinary medical group that
partners with health plans and other risk-bearing entities to
address the needs of high- and emerging-risk patients. Using a
unique, in-home, whole-person care approach to meeting a patient’s
needs, Upward Health delivers and coordinates care that improves
outcomes and the quality of life for every patient it serves. It
has a Net Promoter Score of 86, among the highest in the healthcare
industry, and ranks No. 7 on the 2023 Inc. 5000 list of the
fastest-growing private companies in the nation. To learn more,
visit www.upwardhealth.com.
About Central California Alliance for
Health
Central California Alliance for Health (the Alliance) is a
regional Medi-Cal managed care health plan, established in 1996 to
improve access to health care for over 428,000 members in Merced,
Monterey and Santa Cruz counties. Beginning January 1, 2024, the
Alliance will also serve the counties of Mariposa and San Benito.
Using the state’s County Organized Health System (COHS) model, the
Alliance delivers innovative community-based health care services
by connecting members with providers that deliver timely services
and care, focused on prevention, early detection and effective
treatment. As the Alliance vision is one of “healthy people,
healthy communities,” the Alliance remains focused on efforts to
improve access to quality health care for its members. For more
information, visit www.thealliance.health.
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version on businesswire.com: https://www.businesswire.com/news/home/20240417591784/en/
Ashley Kurpiewski, akurpiewski@upwardhealth.com Linda Gorman,
lgorman@ccah-alliance.org