ASA: Advocates are Key Players in States’ Dual Eligible Roll Outs

By Fay Gordon and Amber Cutler Over the summer, for tens of thousands of low-income older adults and people with disabilities in California, the sight of a blue envelope in the mailbox signaled the beginning of a complete change in their healthcare services. Those envelopes contained a notice explaining how their enrollment in California’s dual … Continue reading

California Healthline: Lawsuit Slams the State’s Duals Project

In Washington, it's called the Affordable Care Act. In Sacramento, it could be become known as another budget buster. (Mark Boster / Los Angeles Times / July 9, 2012)

by David Gorn Stakeholders last week filed a lawsuit in Superior Court lambasting Cal MediConnect, the dual eligibles demonstration project that is part of the state’s Coordinated Care Initiative. The state is hoping to enroll approximately 456,000 duals — about half of the state’s 1.1 Californians who qualify for both Medicare and Medi-Cal benefits — into … Continue reading

http://dualsdemoadvocacy.org/wp-content/uploads/2014/06/Designing-Enrollment-Notices-for-a-Dual-Eligible-Demonstration-Rollout.pdf

California Healthline: Advocates Want Duals Pilot Project Slowed

by Heather Mack, California Healthline Contributing Reporter As the Coordinated Care Initiative prepares to launch the largest enrollment of one of its major programs, advocates for dual eligibles are asking state and federal officials to suspend automatic enrollment. After repeatedly receiving reports that the enrollment process for Californians dually eligible for Medicare and Medi-Cal has caused … Continue reading

San Diego County Medical Society: Healthcare Changes Are Coming for Dually Eligible Medi-Cal and Medicare Patients!

Effective April 1, 2014, the California Department of Health Care Services (DHCS) and the Centers for Medicare and Medicaid Services (CMS) will be rolling out Cal MediConnect, a new program to coordinate care for some of San Diego’s most vulnerable patients. Cal MediConnect, a three-year demonstration project for patients dually eligible for Medicare and Medi-Cal, is … Continue reading

California Healthline: ‘Promise, Peril’ of Dual Eligible Demonstration Project Studied

John William Springs, a retiree who gets nearly $12,000 a year in Social Security and disability checks, is $1,300 above the poverty threshold: officially, not poor.

by David Gorn Health care researchers yesterday unveiled a portion of a project examining multiple-condition, multiple-provider consumers affected by the California dual-eligible demonstration project. Their briefing included policy directives they think will steer the program toward promise and away from peril. The HOME Project, through the UCLA Center for Health Policy Research, is an ongoing qualitative … Continue reading

California Healthline: Advocates Say State Cooperating With Possible Revamp of Notices to Duals

by David Gorn Advocates for seniors and the disabled expressed both relief and continued concern over the weekend about the state’s approach to its May 1 launch of half of the counties in the duals demonstration project Cal MediConnect, a central component of the state’s Coordinated Care Initiative. Following a group letter by advocates that raised … Continue reading

California Healthline: Advocates Ask for Delay in Duals Project

by David Gorn Advocates for seniors and the disabled sent a strongly worded letter to federal and state officials Friday calling for a temporary halt to California’s duals demonstration project in seven of the eight pilot counties. “We write to urgently request the suspension of implementation of the Coordinated Care Initiative in all counties other than … Continue reading

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 … Continue reading

California Healthline: Legislators Question Duals Program Implementation at Oversight Hearing

In Washington, it's called the Affordable Care Act. In Sacramento, it could be become known as another budget buster. (Mark Boster / Los Angeles Times / July 9, 2012)

by David Gorn State legislators yesterday expressed concerns about the state’s readiness for an April 1 rollout of the duals demonstration program, the central component of the Coordinated Care Initiative. During a joint hearing of the Senate Committee on Health and the Senate Committee on Budget and Fiscal Review, legislators asked pointed questions of state health … Continue reading

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