California Healthline: Duals Demonstration Project Begins

by David Gorn The duals demonstration project launched last week in five counties, according to officials from the Department of Health Care Services, which is overseeing the project. Only one county has launched the automatic process — known as passive enrollment — that moves beneficiaries into new coverage. In San Mateo County, residents who are dually … 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: 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

LA Care: L.A. Care and Health Net Host CCI Stakeholder Meeting

Topics discussed include an update on the draft Los Angeles County enrollment strategy and the creation of a stakeholder-led CCI Outreach Workgroup. On December 12, 2013, L.A. Care and Health Net jointly hosted a Coordinated Care Initiative (CCI) Stakeholder Meeting. The purpose of this meeting was to bring together key stakeholders to discuss policy and … Continue reading

California Healthline: Insurers Gather in ‘Dysfunctional’ D.C. for Medicare, Medicaid, Duals Conferences

by George Lauer  WASHINGTON, D.C. — Alice Rivlin, a seasoned Beltway veteran, painted a bleak perspective for the nation’s health insurers who met last week on the eve of some of the biggest changes in decades for the U.S. health system. “I’m surprised you all are brave enough to come to Washington in this surreal … Continue reading

NSCLC: CMS Releases Guidance for Enrollment Practices in the Dual Eligible Demonstration Projects

From our colleagues at NSCLC:    The Medicare-Medicaid Coordination Office at CMS recently released final enrollment guidance for the dual eligible financial alignment demonstration projects that are being planned by about 20 states. The guidance sets standards for passive and voluntary enrollment, including notice requirements. It contains a model application form and 30 different model … Continue reading

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