Specifications include, but are not limited to: 1. Empowering members to make informed choices about their health plans and care; 2. Improving care and service coordination and management; 3. Increasing investment in population health, focus on social determinants of health and actual focus on race equity; and, 4. Improving budget predictability and increased payments for improved outcomes.; Deliver care management and service coordination in accordance with the consumer’s choice and preferences. The most recommended approach is to pair the member with the provider who has an established relationship to the patient to optimize engagement and successful outcomes. • Establish appropriate parameters to further support transparent and timely data sharing among and between EOHHS, health plans and providers. All stakeholders should use the data flow to inform, support and track individual member, system, and programmatic performance to achieve EOHHS’ policy goals for the managed care program. Behavioral Health • Implement systemic improvements at the state, health plans, AE, and provider levels to achieve an integrated system of whole-person care that addresses physical and behavioral health needs for children and adults. • Providers should be well-versed in evidence-based care models including trauma-informed care, adverse childhood experiences, principles of recovery and empowerment, health literacy, and harm reduction. • Service continuum assessment should address early identification, prevention and care transitions
