Navigating local plan variability across 58 counties.
Managed care plan model types directly shape provider workflows, care authorization speeds, and local community support integration.
Large Urban Networks
Infrastructure built for high-density metropolitan systems balancing commercial and public health plans.
Key Features & Workflow Capabilities
- Provider density mapping and local network optimization
- Multi-tier Enhanced Care Management (ECM) contracting
- High-volume care coordination and routing protocols
Multi-County Alignment
Unified operating standards designed across county boundaries to eliminate administrative friction.
Key Features & Workflow Capabilities
- Standardized inter-agency coordination portals
- Cross-county provider roster synchronization
- Unified quality metrics and compliance reporting
Unified County Models
Direct health authority partnerships providing coordinated local governance and social care access.
Key Features & Workflow Capabilities
- Streamlined single-payer authorization processes
- Integrated social supports & Community Supports (ILOS)
- Direct public agency collaboration frameworks
Need assistance structuring operations in specific health counties?
Our regional health advisors assist with multi-plan roster integration and contracting models.
Targeted pathways for complex care.
Enhanced Care Management targets high-need Medi-Cal members to resolve fragmented healthcare delivery. Our specialized workflows connect qualified populations to comprehensive physical, behavioral, and social support.
Comprehensive care management designed for unhoused adults and families or those at imminent risk of homelessness. We coordinate housing navigation, medical outreach, immediate shelter placement, and sustained community support services.
Transforming Medi-Cal into a whole-person ecosystem.
CalAIM (California Advancing and Innovating Medi-Cal) is a multi-year Department of Health Care Services initiative integrating physical, behavioral, and social health services. StratiHealth™ assists health plans, providers, and community partners in steering through regulatory transitions to realize lasting care improvements.
Turn CalAIM complexity into operational clarity.
We provide independent consulting and hands-on implementation support for healthcare providers, community-based organizations, and managed care plans navigating ECM and Community Supports program requirements.
ECM & Community Supports contracting
Structure compliant contracts with managed care health plans aligned with state standards.
IT/billing/claims integration
Streamline data exchange, authorization workflows, and billing pathways for sustainable ops.
Care management compliance
Ensure ongoing operational compliance, quality oversight, and clinical audit readiness.
Contact Inquiry
Schedule a technical consultation with our CalAIM implementation advisors.