Many states are adopting payment policies and other mandated investment in services that address social determinants of health. We work with cross-sector stakeholders in these states to create sustainable business partnerships that support successful execution and optimize the outcomes of these new policies while creating a hub for service delivery and administration.
Through this solution, we help solicit and vet potential partners to assess their readiness and fit. We help clients develop a partnership network with these community-based providers by proactively working across plans and providers to smooth implementation and analyzing gaps that may arise when working to meet new policy and plan requirements.
We use a variety of financing tools to build long-term, sustainable programs that deliver value to members, providers, and plans. Our process includes vetting, and when possible implementing, value-based reimbursement strategies, which link a portion of payment to mutually agreed upon outcomes.
Services - Medicaid Reform Implementation
Solicitation and selection of best-fit program partners
Development of a CBO partner network
Program alignment with policy and plan requirements
Value-based contracting and innovative financing development and implementation
Representative Projects
Engaging Community-Based Organizations as Medi-Cal Contracted Providers
Quantified Ventures worked with CalOptima Health and Consilience Group to craft a case study to help California-based nonprofits learn how you to access Medicaid funding to support their social service delivery. We highlight how two social service nonprofits in Orange County pursued and secured a service contract with CalOptima, the county-managed care plan, and in doing so, were able to extend their reach and effectively support the communities they serve.
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Quantified Ventures is a CalAIM PATH Technical Assistance Vendor
QV is thrilled to be among the approved vendors providing technical assistance to providers, community-based organizations, counties, and others to establish the infrastructure needed to implement Enhanced Care Management (ECM) and Community Supports under CalAIM. Providing Access and Transforming Health (PATH) is a five-year, $1.85 billion initiative to build up the capacity and infrastructure of on-the-ground partners in California. PATH funding will address the gaps in local organizational capacity and infrastructure that exist statewide, enabling these local partners to scale up the services they provide to Medi-Cal beneficiaries.
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Client Testimonials
“Quantified Ventures been working with Anthem Blue Cross in California as consultants for a few years now on several projects involving CalAIM. They have been instrumental in assisting us in closing our Community Supports gaps across the state, supporting our providers to develop strategy, operational policies, and financial modeling (which is their strong suit). We have continued to expand our scope of work with QV because their organization is smart, agile, and innovative.”
Contact Us
For more information about our Managed Care Organization growth solutions, contact:
Rebecca Gerr
rgerr@quantifiedventures.com