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In the case of CalAIM and MediCal, there are power dynamics of knowledge and familiarity which organizations who are new to Medi-Cal don't have e.g. contracting, regulations, MCP understanding.

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Service Delivery and Program Implementations

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Service Delivery and Program Implementations

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Community Based social services agency hold the power to the community and individuals.  They are the gate keepers with deep understanding of the dynamics of their community.  They have a stake in uplifting the community.

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Community Based social services agency hold the power to the community and individuals.  They are the gate keepers with deep understanding of the dynamics of their community.  They have a stake in uplifting the community.

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Physical space (facilities, size, geography, etc)

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Physical space (facilities, size, geography, etc)

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Sometimes the parties who are working together have data that their partners don't have access to that may impact their ability to do their work effectively.

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Relationships with state government can be imbalanced

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Relationships with state government can be imbalanced

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Power comes in different forms and successful social services programs that support equity have power.  Outcomes are another way to garner power and expertise within organizational programs.

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Power comes in different forms and successful social services programs that support equity have power.  Outcomes are another way to garner power and expertise within organizational programs.

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healthcare entities have lobbying and political power

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healthcare entities have lobbying and political power

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understanding of respective priorities, values, perspectives and mission

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understanding of respective priorities, values, perspectives and mission

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Often because shared understanding doesn't exist and these conversations don't happen, folks miss where they can build trust and transparency which then exacerbates power dynamics

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Historical power imbalances needs to be taken into account, especially political power and previlege.

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Historical power imbalances needs to be taken into account, especially political power and previlege.

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Knowledge of the community and the individuals being served

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Knowledge of the community and the individuals being served

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Personal connections in their respective fields

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Personal connections in their respective fields

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Building relationships with the community is a form of power

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Building relationships with the community is a form of power