California Program to Coordinate Care for 1M Dual Eligibles

The California Department of Health Care Services announced a pilot program to coordinate health coverage for the more than one million residents who qualify for both Medicaid and Medicare.

The three-year demonstration project — slated to start January 2013 pending CMS approval — would include Los Angeles, Orange, San Diego and San Mateo counties initially, with the option of adding six more later. It would be funded by the federal Patient Protection and Affordable Care Act.

"The goal is to design a seamless system that helps dual eligible beneficiaries get the healthcare services they need and improve health outcomes in a more fiscally efficient manner," said Toby Douglas, director of the Department.

Early estimates predict the plan could save the state $680 million in FY 2012-13 and $1 billion the following fiscal year.

California selected health insurer Health Net to administer the program in Los Angeles and San Diego Counties.

More Articles on California Medicaid:

Supreme Court Sends California Medicaid Case Back to Appeals Court
HHS Blocks Medicaid Co-Pays in California
California Medical Groups File Lawsuit Over Medi-Cal Cuts

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