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Our analysis suggests that among SSOs familiar with CalAIM, smaller SSOs were less likely to be contracted CalAIM providers, possibly mediated by lower rates of prior Medicaid contracting experiences (e.g. pilot participation). Contracted SSOs perceived improvements in health care-social services integration at both the patient and organizational levels, suggesting CalAIM is functioning as intended in the perception of SSOs. We demonstrate a feasible method for ongoing monitoring of the SSO perspective that can inform near-term policy directions to ensure small SSOs with close community ties are fully included as partners in CalAIM.
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Arons et al. (2025) studied this question.
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