Perspectives: California’s Duals Demonstration – Listening to Voices that Count the Most
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. Find out more in this week’s Perspectives.Date Updated: 10/26/2015
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. Historically, these programs have operated independently from one another, creating enormous challenges for those who need services and their circle of caregivers who work hard to piece together a plan of care. When this ad-hoc care plan fails, the medical system’s backstop is always open – emergency rooms and hospitals. These are places where no one wants to be and cost enormous sums of money – dollars that could be spent more effectively by meeting people’s needs in the communities where they live…
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This is the third report coming from the California Medicaid Research Institute (CAMRI) project entitled: Comprehensive Analysis of Home- and Community-Based Services in California. The report describes Medicare and Medi-Cal spending for those beneficiaries using long-term services and supports funded by Medi-Cal.
The California Medicaid Research Institute (CAMRI) developed an integrated and longitudinal database containing Medi-Cal and Medicare claims and assessment data of LTSS recipients in California in 2008. CAMRI’s integrated database provides a unique opportunity to look at characteristics and program spending across the entire care continuum for beneficiaries with LTSS needs within Medi-Cal and for dual eligibles across Medicare and Medi-Cal. This report focuses on LTSS use and spending in the eight duals demonstration counties.
On March 27, 2013, the State of California and the Centers for Medicare and Medicaid Services (CMS) formalized a Memorandum of Understanding (MOU) to establish a Federal-State partnership to implement the Dual Eligibles Integration Demonstration, also referred to as Cal MediConnect. This Fact Sheet provides background information about Cal MediConnect and summarizes the key points of the MOU.