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

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

CalDuals: Enrollment Data and Cal MediConnecToons

Please click here for updated Cal MediConnect Enrollment Data Cal Duals rolled out a new campaign to help consumers better understand Cal MediConnect through animated shorts. Click here for Cal MediConnecToons

NSCLC: New Issue Brief Unfinished Business: Designing Appeals Procedures in the Dual-Eligible Demonstrations

From our colleagues at NSCLC: Under the Affordable Care Act, a number of states are participating in financial alignment demonstrations that combine the delivery of Medicare and Medicaid services for dual eligible beneficiaries. Even though financial alignment demonstrations are already “live” in five states with tens of thousands receiving services through demonstration plans, the appeal … Continue reading

California Healthline: Two UC Medical Centers Dropping Medi-Cal Managed Care Contract

by David Gorn Health Net and two University of California medical centers agreed to sever ties on a Medi-Cal managed care contract. As of Jan. 1, that means roughly 4,300 patients will need to find new providers. According to Health Net, letters announcing the change have been mailed to patients and they should be receiving … Continue reading

California Healthline: What’s Behind High Opt-Out Rate Among Dual Eligibles in L.A. County?

by David Gorn he state’s duals demonstration project has hit a rough patch in Los Angeles County. Health officials are in the middle of an effort to enroll a large segment of the state’s dual-eligible population in Cal MediConnect — a seven-county pilot project designed to coordinate care and funding for about 430,000 Californians who … Continue reading

SJ Mercury News: California’s managed care project for poor seniors and disabled faces backlash

By Anna Gorman California’s experiment aimed at moving almost 500,000 low-income seniors and people with disabilities automatically into managed care has been rife with problems in its first six months, leading to widespread confusion, frustration and resistance. Many beneficiaries have received stacks of paperwork they don’t understand. Some have been mistakenly shifted to the new … Continue reading

KHN: As California Expands Medicaid To New Beneficiaries, Many Others Are Dropped

By Jenny Gold When it comes to expanding health coverage to its poorest residents, California could be taking two steps forward and one step back. Even as the state celebrates its enrollment of more than 2.7 million low-income Californians in Medi-Cal in 2014, it may drop an unusually high number of beneficiaries from its rolls … Continue reading

California Healthline: State Tweaks Timeline for Duals Project

by David Gorn State health officials last week dropped Alameda County and its 26,000 dual-eligibles from Cal MediConnect, California’s demonstration project for Californians eligible for Medi-Cal and Medicare. The timeline for Orange County was pushed back one month for automatic enrollment to start. Orange County had already been delayed to start no sooner than July … Continue reading

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