TSF: How California Can Ensure Continuity of Care for Vulnerable Seniors Transitioning to Managed Care

Giving low-income older adults in California a voice in their own care is critical to making a seamless transition into Cal MediConnect, a new managed care program, according to a new policy note by the UCLA Center for Health Policy Research.   Read report here: http://www.thescanfoundation.org/how-california-can-ensure-continuity-care-vulnerable-seniors-transitioning-managed-care?utm_source=6-12-14+%28e-blast%29&utm_campaign=6-12-14&utm_medium=email

California Healthline: CMS Studying Medicaid Managed Care Plan Rates, Drafting New Rule

CMS has unveiled details on two initiatives — an actuarial study and a new regulation — that are likely to alter how Medicaid managed care providers and plans operate and how they are paid, Modern Healthcare reports. The District of Columbia and 37 states currently contract with Medicaid plans, according to Medicaid Health Plans of America. In … Continue reading

California Health Care Foundation: In Transition: Seniors and Persons with Disabilities Reflect on Their Move to Medi-Cal Managed Care

Click the following for PDF: CHCF: SPD Transition to Medi-Cal Managed Care

CA DHCS CCI Update

From CA DHCS:   Today (Thursday, May 1), the Department of Health Care Service (DHCS) is announcing a Medicare Advantage policy proposal to reflect the continued respect for beneficiary choice, promote enrollment into Cal MediConnect, and advance the goals of coordinated care as set forth in the Coordinated Care Initiative (CCI).  DHCS has outlined its … Continue reading

California Health Care Foundation: In Transition: Seniors and Persons with Disabilities Reflect on Their Move to Medi-Cal Managed Care

Carrie Graham, Health Research for Action at UC Berkeley Beginning in 2011, seniors and persons with disabilities (SPDs) in 16 counties with Medi-Cal fee-for-service were required to choose a managed care plan or be assigned to one. After one year, approximately 240,000 SPDs had made the transition to managed care.   Advocates for the affected … Continue reading

CalDuals: Enrollment Data

Linked below is a PDF version of Cal MediConnect’s Enrollment Data. It contains numerous data elements regarding Cal MediConnect enrollment including the number of current enrollees, number of opt-outs and the notice mailing schedule. The document represents the latest step by DHCS in creating a transparent process and will be updated every month. You can … Continue reading

California Health Report: Strange bedfellows unite to help older adults

By Matt Perry  In the near future, successful care for older adults will depend on bold and creative collaborations. That’s the message aging pioneer Ken Dychtwald gave last month’s Aging in America conference. Dychtwald, CEO of the consulting group Age Wave, might as well have been describing the “strange bedfellows” collaboration between two organizations often … Continue reading

LA Care: L.A. Care Successfully Completes Cal MediConnect Readiness Review

From our Colleagues at L.A. Care:  L.A. Care is pleased to announce that it has received readiness review approval from NORC, the organization contracted by the Centers for Medicare and Medicaid Services (CMS) to conduct the Cal MediConnect reviews nationally. The purpose of the readiness review is to test health plan capabilities to ensure high … Continue reading

Community Catalyst: Strengthening Long-Term Services and Supports A Tool to Assess and Improve Medicaid Managed Care

Shared to us by our colleagues at The SCAN Foundation:  Many states are overhauling the delivery of long-term supports and services (LTSS) for consumers in Medicaid who are living with chronic illnesses and disabilities. They are shifting from fee-for-service models to contracting with Medicaid managed care organizations (MCOs) for some or all LTSS. In some … Continue reading

California Healthline: Study: Dual Eligibles Worried About April Transition to Managed Care

by David Gorn UCLA researchers yesterday released a study that shows heightened concern and confusion among California seniors and the disabled over the state’s plan to move dual eligibles — Californians eligible for both Medi-Cal and Medicare — into managed care plans. The duals demonstration project scheduled to start Apr. 1 is a central piece of the state’s … Continue reading

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