Continuity of Care for Vulnerable Seniors

On April 1, the first dual eligibles (adults insured through Medicare and Medi-Cal) in eight counties were enrolled in a combined Medi-Cal and Medicare managed care program called “Cal MediConnect.” Cal MediConnect holds the promise of improving the coordination of their care across a complex array of medical and social support services. However, concerns remain whether the transition will result in disruptions in care, according to a UCLA Health Policy study. The authors say that continuity of care is familiar and responsive. It involves long-standing relationships with providers and involves family members, social service providers, and others. The authors recommend that the state’s definitions and assurances of care continuity be expanded to reflect consumers’ broader health and social care needs. Quality care evaluations should involve the preferences and goals of consumers. For more information, visit http://healthpolicy.ucla.edu.