Evaluating Medicare-Medicaid Integration
The Foundation seeks to improve the lives of Californians eligible for Medicare and Medi-Cal by supporting integration across these two major programs. One way we seek to achieve this goal is by learning from on-the-ground experiences of individuals engaging in California’s demonstration project to bring together Medicare and Medicaid in seven counties, called Cal MediConnect.
Below are two initiatives to better understand enrollee experiences in Cal MediConnect, and how this new integrated care program is changing the delivery system landscape in the state.
Multiyear Evaluation of Cal MediConnect -
University of California
The Community Living Policy Center at the University of California, San Francisco and the UC Berkeley Health Research for Action Center are conducting a three-year evaluation of Cal MediConnect. Researchers are documenting the impact of the program on individuals' experiences with care, including access, quality, and coordination. They are also examining service delivery system response to the initiative in several sectors, including health plans, medical care providers, behavioral health, skilled nursing, and home-and community-based services.
- Assessing the Experiences of Dually Eligible Beneficiaries in Cali MediConnect: Results of a Longitudinal Survey (September 2018)
- Integration of Medicare and Medicaid in California: Provider Perspectives of Cal MediConnect (January 2018)
- Provision of Home - and Community-Based Services through Cal MediConnect Health Plans (November 2017)
- The Impact of Cal MediConnect on Transitions from Institutional to Community-Based Settings (May 2017)
- Cal MediConnect - How Have Health Systems Responded? (Full Report)
- Full report of the Cal MediConnect evaluation focus groups
Rapid Cycle Polling of Medicare-Medi-Cal Individuals -
University of California/Field Research Corporation
The University of California has continued the work of Field Research Corporation, conducting polling to understand people's experiences with Cal MediConnect. The information was shared with state departments and health plans responsible for continuous quality improvement for the demonstration.