Latest California Healthline Stories
Los Angeles Provider Groups Upset Over Opt-Out Forms for Duals Project
Two groups of Los Angeles County health care providers submitted a letter to state health officials outlining new concerns about the opt-out provision of the state’s duals demonstration project.
Legislators Question Duals Program Implementation at Oversight Hearing
At a joint legislative hearing yesterday, state health officials fielded a wide range of questions and concerns about the dual-eligibles demonstration project due to launch on April 1.
State Alters Rollout of Duals Project
The launch of the state’s duals demonstration project still is slated for April 1, but with some county-specific delays and a few changes in Los Angeles County.
Dual Eligibles Transition Sparks Worries
California health officials want to move one million Californians who qualify for Medi-Cal and Medicare into managed care. Advocates worry the state will not properly prepare seniors for the transition.
CMS, State Officials Halt Participation of CalOptima in Dual-Eligible Plan
Federal officials found “widespread and systemic” violations in an audit of Southern California insurer CalOptima, causing state officials to exclude Orange County residents — at least temporarily — from the Cal MediConnect conversion of dual-eligibles to Medi-Cal managed care.
Study: Dual Eligibles Worried About April Transition to Managed Care
A new study from UCLA says seniors are worried about the state’s duals demonstration project. Beginning in April, the state will move about 450,000 Californians eligible for Medicare and Medi-Cal into Medi-Cal managed care plans.
Medicare Briefing Examines Hospital Trend To Observe Rather Than Admit
A concern that hospitals might be delaying admission of Medicare patients got national attention in a televised Washington, D.C., briefing last week.
How California’s Dual-Eligibles Project Compares With Five Other States’ Plans
A new analysis by a seniors’ advocacy group lays out the similarities and differences between the appeals process for dual-eligible projects in six states, including California.
Stakeholders Assess Delayed Duals Project
California’s duals demonstration project to coordinate care for those eligible for Medicare and Medi-Cal has been delayed until April.
Floor Vote Coming for ‘De-linking’ Plan
A legislative committee yesterday questioned a proposal to “de-link” some provisions of the Coordinated Care Initiative and to expand the role of the Department of Finance in the state’s plans for covering Californians eligible for Medicare and Medi-Cal.