California Healthline: Changes Afoot for Orange County Duals

by David Gorn, California Healthline Sacramento Bureau range County is slated to start enrollment this week in the Cal MediConnect duals demonstration project. The Cal MediConnect demonstration project is designed to enhance care and integrate coordination for duals by combining the financing and services of Medicare and Medi-Cal, California’s Medicaid program. It was launched with … Continue reading

NY Times: Medicare and Medicaid at 50

By THE EDITORIAL BOARD Medicare and Medicaid, the two mainstays of government health insurance, turn 50 this month, having made it possible for most Americans in poverty and old age to get medical care. While the Affordable Care Act fills the gap for people who don’t qualify for help from those two programs, there are … Continue reading

Bloomberg View: Why Medicare Needs a Safety Net

By The Editors  It’s a little awkward to defend something that doesn’t yet exist. But the Independent Payment Advisory Board is in danger of being killed before it’s born, thanks to a vote in the House Tuesday, and that would be a mistake — an extremely costly one both for Medicare, the program it’s meant to … Continue reading

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: CMS Settlement May Have Ripple Effect

by David Gorn MS officials this week approved a settlement officially halting a 10% Medi-Cal payment reduction from 2011 at California independent living centers. Federal approval came three years after the issue was settled in court. The state of California settled a series of lawsuits around the independent living centers’ Medi-Cal reductions in 2012, but … 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 Healthline: Medicare, ACA Have Faced Similar Criticism. But Is That Where the Comparison Ends?

by Michelle Stuckey, California Healthline Editor As Medicare turns 50, many observers are looking back at the program’s beginning and drawing comparisons with more recent health reform efforts, namely the Affordable Care Act. A recent article in the New England Journal of Medicine on the beginning of Medicare notes that the program started “only after … Continue reading

Click here for latest enrollment data: http://www.calduals.org/enrollment-data/

NSCLC: Cal MediConnect January 2015 Enrollment Fact Sheet

Click here for Cal MediConnect January 2015 Enrollment Fact Sheet: http://dualsdemoadvocacy.org/wp-content/uploads/2014/10/Cal-MediConnect-January-Enrollment-1.pdf

Huffington Post: Key Obamacare Official Stepping Down

Jonathan Cohn & Jeffrey Young  A senior government official with almost unparalleled authority over the U.S. health care system is stepping down, ending a tenure that included one highly publicized, highly consequential failure on Obamacare as well as significant, if less heralded, successes. Marilyn Tavenner will resign as administrator of the Centers for Medicare and Medicaid Services, … Continue reading

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