NSCLC: Advocates Recommend Ways to Measure Rebalancing In Managed LTSS and Dual Eligible Demonstrations

Consumers, providers, regulators and policymakers generally agree that rebalancing long-term services and supports (LTSS) system towards greater use of home and community-based services versus institutional care is a shared goal as states shift to the use of managed LTSS for those older adults and persons with disabilities with Medicare and Medicaid (dual eligibles) and others … Continue reading

Senior Services Coalition of Alameda County: Is Medi-Cal Coverage for Adult Day Health Care in our Future?

January 8, 2014 – The court settlement that preserved Medi-Cal coverage for Adult Day Health Care will expire on August 31, 2014. That settlement gave the benefit its new name – CBAS, for Community-Based Adult Services – and transitioned the benefit from Medi-Cal fee-for-service to a Medi-Cal Managed Care Plan benefit in Alameda and many other … Continue reading

CHCF: Monitoring Performance: A Dashboard of Medi-Cal Managed Care

Benjamin Norman for The New York Times Patients at the Peekskill center, which may or may not get to keep a $4.5 million federal grant.

This first publicly reported dashboard of Medi-Cal managed care shows areas of strength and opportunities for improvement. Six million Californians receive health care through the Medi-Cal managed care program. Over the past three years, the program has expanded to reach new populations, provide more services, and operate statewide. The program will expand further as those newly … Continue reading

California Healthline: Rural Medi-Cal Managed Care Effort Begins

by David Gorn Californians in 28 rural counties now have access to Medi-Cal managed care plans, bringing state-linked managed care plans to all 58 California counties. The expansion will affect roughly 274,000 residents in rural areas, according to Toby Douglas, director of the Department of Health Care Services, which is coordinating the effort. “Managed care increases … Continue reading

California Healthline: State Opens Adult Day Services Dialogue

by David Gorn A new chapter starts tomorrow in the long saga of the Community Based Adult Services program. Two state agencies — the Department of Health Care Services and the Department of Aging — tomorrow will convene the first stakeholder meeting in a new process designed to extend the CBAS program beyond the expiration date … Continue reading

CDCAN: Draft Enrollment Plan for LA County CAL MediConnect Released

DEPT OF HEALTH CARE SERVICES RELEASES DRAFT ENROLLMENT PLAN OF DUAL ELIGIBLES IN LA COUNTY INTO MEDI-CAL MANAGED CARE UNDER CAL MEDICONNECT PIECE OF THE “COORDINATED CARE INITIATIVE” Department Says It Welcomes Public Comments – Due By August 2nd Friday Draft Plan Outlines Enrollment of 216,000 People with Disabilities and Seniors Eligible for Both Medicare … Continue reading

CDCAN: “DE-LINKING” AND OTHER CHANGES TO “COORDINATED CARE INITIATIVE”

SENATE PASSES BUDGET TRAILER BILL PROPOSED BY BROWN ADMINISTRATION THAT “DE-LINKS” 3 PARTS OF “COORDINATED CARE INITIATIVE” – BILL HEADS TO GOVERNOR ·     Brown Administration Proposed Changes To Coordinated Care Initiative Including “De-Linking” the 3 Parts of the Project That Impacts IHSS, MSSP and Other Long Term Services and Supports in the 8 “Coordinated Care Initiative” … Continue reading

California Healthline: Floor Vote Coming for ‘De-linking’ Plan

by David Gorn A legislative committee yesterday had a lot of questions about a proposal to expand the role of the Department of Finance in the state’s Coordinated Care Initiative and to de-link some provisions in it. CCI is the plan to combine funding and coordinate services for 1.1 million Californians dually eligible for Medicare … Continue reading

LA Times: Congressional delegates worried about managed care move for seniors

By Anna GormanJune 4, 2013, 7:27 p.m.   Several members of the Los Angeles congressional delegation asked the federal government Tuesday to postpone moving hundreds of thousands of chronically ill seniors and disabled patients into managed care. In a letter, signed by 14 U.S. representatives, the officials raised concerns about whether the health plans would be ready for the transition … Continue reading

California Healthline: Managed Care Tax Decision Left Until New Budget Proposal Arrives

by David Gorn Distrust ran high yesterday during part of a budget subcommittee hearing  when the subject turned to reinstitution of a managed care organization tax. The MCO tax instituted in 2009 had the singular distinction of being embraced by the ones being taxed because the money was matched by federal dollars and was used … Continue reading

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