CAHP Fact Sheet: Enhanced Care Management and Community Supports: Making a Difference for California’s Most Vulnerable Communities
Enhanced Care Management (ECM) is a critical benefit under California’s Medi-Cal Managed Care program where Medi-Cal plans and providers provide comprehensive health care and treatment to some of the most vulnerable populations in the state. Under ECM, high risk Medi-Cal members receive enhanced and coordinated care so that all their health care needs are identified, addressed, and coordinated by a single case manager. Some of the populations helped by ECM include the unhoused, those with mental health and substance use disorders, and those at risk of being hospitalized.
Medi-Cal Managed Care health plans play a vital role in implementing the ECM program and help ensure it is a success.
CAHP Press Release: CAHP Issues Statement on Covered California Preliminary 2026 Rate Changes
California’s health plan premium costs in 2026 will be driven by several factors across the individual and small group marketplaces, specifically: growth of expensive weight-loss and specialty drugs, high costs of coverage mandates including an IVF mandate, expiration of enhanced federal premium tax credits, uncertainty over recently enacted federal rules and legislation, inflation, and the impact of Medicaid redeterminations, among other factors.
Your Plan Your Advocate Press Release: ICYMI: Small Businesses Sound the Alarm on Health Care Mandates
In a recent Capitol Weekly op-ed, Michael Hedges, President of the California Small Business Association and founder of Pacific Trux, sounded the alarm on how proposed legislative health care mandates and state policy changes are threatening the affordability of employer-sponsored health care coverage for California’s small and mid-sized businesses.