The California Department of Health Care Services announced (pdf) that Los Angeles, Orange, San Diego and San Mateo counties will be the initial participants in a three-year demonstration project to improve care coordination of people who are dually eligible for Medicare and Medi-Cal, California's Medicaid program.
California's demonstration project, which is funded by the Patient Protection and Affordable Care Act, would enroll a portion of California's 1.1 million dual eligibles into integrated care delivery models. Selected health plans would receive a monthly payment from both Medicare and Medi-Cal to provide these beneficiaries all necessary health services, and beneficiaries would have a single health plan membership as well as a care team to help coordinate services.
The managed care demonstration is expected to save the state roughly $678.8 million in fiscal year 2012 and $1 billion in FY 2013.
Dual eligibles in the four counties will start enrolling in January 2013, pending CMS approval.
California's demonstration project, which is funded by the Patient Protection and Affordable Care Act, would enroll a portion of California's 1.1 million dual eligibles into integrated care delivery models. Selected health plans would receive a monthly payment from both Medicare and Medi-Cal to provide these beneficiaries all necessary health services, and beneficiaries would have a single health plan membership as well as a care team to help coordinate services.
The managed care demonstration is expected to save the state roughly $678.8 million in fiscal year 2012 and $1 billion in FY 2013.
Dual eligibles in the four counties will start enrolling in January 2013, pending CMS approval.
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