Evidence map›Paper›PMID 39632564›Full record

ArticleHealth services research2025

Collaboration strategies for bridging health, behavioral health, and social services in California's Medi-Cal Whole Person Care Pilot Program.

Emmeline Chuang, Rachel Ross, Nadia Safaeinili, Leigh Ann Haley, Brenna O'Masta, Nadereh Pourat

Abstract read
In one paragraph

Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Emmeline ChuangSchool of Social Welfare, University of California Berkeley, Berkeley, California, USA.ORCID https://orcid.org/0000-0001-9227-3273
Rachel RossSchool of Medicine, Stanford University, Stanford, California, USA.
Nadia SafaeiniliSchool of Medicine, Stanford University, Stanford, California, USA.ORCID https://orcid.org/0000-0003-4792-3091
Leigh Ann HaleyCenter for Health Policy Research, University of California Los Angeles, Los Angeles, California, USA.
Brenna O'MastaCenter for Health Policy Research, University of California Los Angeles, Los Angeles, California, USA.
Nadereh PouratCenter for Health Policy Research, University of California Los Angeles, Los Angeles, California, USA.ORCID https://orcid.org/0000-0001-5118-1188

Funding

Department of Health Care Services 17-94448Robert Wood Johnson Foundation 78115
6 · The paper itself

Abstract

objectiveTo identify collaboration strategies used to integrate health, behavioral health, and social services for Medicaid members in California's Medi-Cal Whole Person Care Pilot program (WPC). DATA SOURCES AND STUDY

settingWPC was a social care intervention implemented to identify and address eligible members' health, behavioral health, and social needs. Data included semi-structured key informant interviews conducted in 2018-2019 (n = 221) and 2021 (n = 167); pilot-level surveys; whole-network surveys of 507 organizations in all 25 pilots participating in WPC; and documents submitted by pilots to the state. Pilots served a total of 247,887 unique members between 2017 and 2021, the majority of whom were non-white (72%) and over half of whom experienced homelessness. STUDY DESIGN/DATA COLLECTION: Data were collected as part of the statewide evaluation of WPC. We analyzed qualitative data to examine strategies used by pilots to integrate care, network data to identify pilots that improved cross-sector collaboration (i.e., strengthened density or multiplexity of cross-sector ties) following WPC implementation, and comparative case analysis to identify strategies that differentiated pilots that improved collaboration from those that did not. PRINCIPAL

findingsPilots used multiple strategies to facilitate the integration of care. Network analyses identified 10 pilots that significantly improved either density or multiplexity of cross-sector ties, and one pilot with high cross-sector collaboration prior to WPC. Compared to pilots that did not improve cross-sector collaboration, these pilots meaningfully engaged partners in program design and implementation, used braided funds, and leveraged WPC to support broader systems change. These pilots also reported fewer challenges in developing and managing contractual relationships and ensuring meaningful use of data-sharing infrastructure by frontline staff responsible for care coordination.

conclusionsData sharing is necessary but not sufficient for systems alignment. Collaboration strategies focused on addressing financial barriers to integration and strengthening normative and interpersonal integration are also needed.

Indexed as

Cooperative BehaviorMedicaidMental Health ServicesSocial WorkCaliforniaHumansPilot ProjectsQualitative ResearchUnited StatesintegrationMedicaidqualitative researchsocial caresocial determinants of health

Identifiers

PMID39632564
PMCPMC12052524

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.