California Healthline: Los Angeles Provider Groups Upset Over Opt-Out Forms for Duals Project

by David Gorn

Health care provider groups in Los Angeles County expressed concern about whether dual-eligibles will get a full chance to opt out of the state’s demonstration project slated to launch in seven California counties April 1.

The pilot project combines the disparate services and financing of Medicare and Medi-Cal for people who are dually eligible for both. Dual-eligibles would theoretically get better care and more services in an integrated approach and the state would save money by combining the finances from the two programs.

Temporarily excluding Orange County, which had initially been part of the duals project, the state plans to target roughly 399,000 dual-eligible Californians in seven other counties to try to move them into a managed care program. The largest population of duals is in Los Angeles County, where initial enrollment in the pilot project has been capped at 200,000 people.

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  • LAAAC is managed by St. Barnabas Senior Services; Funded, in part, by Archstone Foundation.
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