Building a Healthier Community: The Essential Role of Nonprofits in Promoting Well-Being

In 2022, California launched CalAIM, a bold initiative aimed at improving health for the 15.3 million Medi-Cal beneficiaries. This program recognizes that health goes beyond just doctor visits; factors like housing, food, and even air purifiers play a crucial role. By addressing these needs, we can enhance health outcomes while cutting long-term healthcare costs.

Community nonprofits have been at the forefront of connecting people with these essential services. They rely on donations and government grants to provide support, especially during crises like the 2017 Sonoma County fires or the COVID pandemic. These organizations offer trusted care tailored to local needs, making them vital to our health and social safety net.

However, CalAIM presents both an opportunity and challenges for these nonprofits. They can potentially secure more funding by partnering with Medicaid managed care plans. Sadly, many face significant barriers, such as high costs and complicated contracts. Moreover, for-profit companies are entering the scene, often outpacing local nonprofits. They may offer quick solutions, but they lack deep ties to the community.

Currently, while nonprofits account for 54% of contracted providers, for-profits dominate with contracts in 30% more managed care plans and in 3.3 times more counties. This means that an estimated two-thirds of the $791 million available annually for local nonprofits is funneled to for-profit companies. This loss translates to about $13.6 million per county that could bolster local economies and safety nets, especially as federal funding faces uncertainty.

To combat this, the Ceres Community Project has joined the CBO Medi-Cal Coalition to support Senate Bill 324, led by state Sen. Caroline Menjivar. This bill aims to simplify contracting for nonprofits, ensuring they are prioritized when qualified organizations are available.

At Ceres, we’ve been delivering medically tailored meals since 2007, collaborating with various health and social care partners. Our team reflects the community we serve, using 100% organic ingredients sourced from over 100 local farms. We take pride in being one of the first organizations accredited by the Food is Medicine Coalition, ensuring the highest care quality for our clients.

Directing Medi-Cal funds to community nonprofits like ours ensures patients receive culturally relevant and quality care while enhancing the local economy. By supporting these initiatives, we can create a healthier future for everyone.

Cathryn Couch is the CEO of Ceres Community Project in Sebastopol.

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