California Healthline: Changes Afoot for Orange County Duals

by David Gorn, California Healthline Sacramento Bureau range County is slated to start enrollment this week in the Cal MediConnect duals demonstration project. The Cal MediConnect demonstration project is designed to enhance care and integrate coordination for duals by combining the financing and services of Medicare and Medi-Cal, California’s Medicaid program. It was launched with … Continue reading

California Healthline: If Calif. Ends Coordinated Care Initiative, What Happens to Frail Senior Duals?

Photo Jay Reiter/MCT via Getty Images

by David Gorn Zelda Gamble of Long Beach, 74, has diabetes, high blood pressure and severe rheumatoid arthritis that keeps her confined to a motorized wheelchair all day. Gamble is one of roughly 12,000 frail seniors across California who depend on the Multipurpose Senior Services Program, or MSSP, for services and care that help them … Continue reading

California Healthline: If Duals Project Is Curtailed, Future Is Cloudy for Program for Frail Seniors

by David Gorn Some advocates and legislators are urging the state to extend the timeline for transitioning the Multipurpose Senior Services Program into managed care plans within the seven-county duals demonstration project. The duals project, also known as Cal MediConnect, is part of the Coordinated Care Initiative that affects roughly two-thirds of the state’s duals population in seven … Continue reading

CA DHCS: March Cal MediConnect Dashboard

Link to report here:  http://www.calduals.org/wp-content/uploads/2015/03/CMC-Enrollment-Dashboard-Mar-2015-Final.pdf

Click here for latest enrollment data: http://www.calduals.org/enrollment-data/

NSCLC: Cal MediConnect January 2015 Enrollment Fact Sheet

Click here for Cal MediConnect January 2015 Enrollment Fact Sheet: http://dualsdemoadvocacy.org/wp-content/uploads/2014/10/Cal-MediConnect-January-Enrollment-1.pdf

NASUAD: Community Based Organizations and MLTSS: An Issue Brief to Assess CBO readiness

Click here for report: http://www.nasuad.org/sites/nasuad/files/CBO%20Readiness%20for%20MLTSS%20Dec.%202014.pdf?utm_source=1-14-15+%28NASUAD%2C+NewsHour+%29&utm_campaign=1-14-15&utm_medium=email

California Health Report: Adding Insult to Injury: The Tale of the Blue Envelope

CMC Blue Envelope (Photo credit: St. Barnabas Senior Services

By Matt Perry Imagine you are an older adult in your 60s or 70s, perhaps even your 80s. You’ve lived a long life of exquisite joy and sorrow. Today, you suffer from diabetes, heart disease, dementia, and a mental health problem like depression or anxiety. Then, one day in the mail comes a blue envelope. … Continue reading

California Healthline: Medi-Cal Ranks Grow by Nearly 500K

by David Gorn About 413,000 Californians have been newly enrolled into Medi-Cal in less than two months, and an additional 100,000 have been determined likely eligible for the program during that time, state health officials said.  Approximately half a million Californians will likely be added to Medi-Cal between Nov. 15, 2014, and Jan. 7, officials … Continue reading

Harbage: Erroneous Cal MediConnect Notices to Medicare Plan Members

From our colleagues at Harbage Consulting: Approximately 10,000 beneficiaries in Medicare plan products erroneously received 90-day CMC notices due to a data timing issue for the January enrollment phase.  This issue only applied to beneficiaries in Medicare products operated by a plan that is also a Cal MediConnect (CMC) plan.  Beneficiaries who received the 90-day … Continue reading

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