As California’s Medicare-Medicaid demonstration becomes more established, a clearer picture is emerging. Over the last 18 months, Field Research Corporation and the University of California have completed numerous evaluation activities to better understand the experiences of dual eligible individuals (both those who enrolled in Cal MediConnect and those who opted out), health plans, health systems, and community-based providers. In this Perspectives, Dr. Chernof examines this rich body of work, identifying successes and what needs to improve as the demonstration moves forward.
As Medicare moves away from fee-for-service and utilization-based managed care to value-based purchasing, addressing older adults’ health in light of functional needs is becoming a business necessity. In this Perspectives, Dr. Chernof recognizes delivery systems that champion person-centered care as the practical way of the future and introduces two resources to help health systems leaders justify and ramp up greater adoption of person-centered care models.
In the last month, three separate groups released recommendations about how to help working Americans better prepare for their future long-term care needs and associated costs. In this Perspectives, Dr. Chernof highlights the similarities across each set of recommendations and advocates for the multi-pronged approach put forth by all groups—one that clarifies personal responsibility, outlines private market solutions, addresses long-term needs, and refocuses Medicaid’s role.
In this Perspectives, Dr. Chernof explains what recent polling results and coordinated care stories tell us about the experiences of Medicare-Medicaid individuals, and identifies opportunities to further strengthen and expand support.
This year's Summit created space for thought-leaders to learn and dialogue with each other about critical windows of opportunity, and how best to transform California's LTSS System. Read Dr. Chernof's Perspectives on some key areas for system transformation that were discussed.
California is among a dozen states participating in the national demonstration to improve care for people with serious chronic illnesses and functional limitations who qualify for both Medicaid and Medicare. We commissioned the Field Research Corporation to poll the state's dual eligibles, including people enrolled and those opting out in five demonstration counties as well as people in non-demonstration counties. What did the Field survey find? People in Cal MediConnect reported positive experiences, with majories stating satifaction or confidence.