Duals Demonstration Project Begins

The duals demonstration project launched last week in five counties, according to officials from the Department of Health Care Services, which is overseeing the project.
Published Online: April 08, 2014

The duals demonstration project launched last week in five counties, according to officials from the Department of Health Care Services, which is overseeing the project.

Only one county has launched the automatic process -- known as passive enrollment -- that moves beneficiaries into new coverage. In San Mateo County, residents who are dually eligible for Medicare and Medi-Cal and who do not choose the Medi-Cal fee-for-service option will be automatically -- or passively -- enrolled in Medi-Cal managed care.

Three other counties (Riverside, San Bernardino and San Diego) will begin passive enrollment next month.

Read the full story here: http://bit.ly/1svZQPg

Source: California Healthline



Feature
Recommended Articles
This week GOP presidential candidate hopefuls turned their attention to the 2016 election as the next best chance to repeal Obamacare, and CMS released data revealing $6.5 billion payments to healthcare providers from drug and medical device makers in 2014.
The deal combines Humana's 3.2 million Medicare enrollees with Aetna's 1.26 million Medicare enrollees, giving the new combined company a strong position as the baby boomer population ages.
As co-pays and deductibles in Medicare and commercial health plans become more prevalent, so, too, does the temptation to waive them. But beware.
In addition to increasing insurance coverage, the Affordable Care Act also aims to improve population health and lower healthcare costs. However, not much attention has been paid to the quality of care the newly insured are receiving.
New delivery models related to the recent healthcare reform legislation may help drive up utilization, as discussed by Francois de Brantes, MS, MBA; Ateev Mehrotra, MD, MPH; and Arthur Vercillo, MD, FACS, in this seventh segment of the Healthcare Reform Stakeholders Summit, Spring 2015 series. They theorize that healthcare convenience and availability may actually lead to a loss in coordination of care.