Eligible Americans have been slow to sign up for a new federal program that aims to save money and improve care for those qualifying for both Medicare and Medicaid. Under the program, a social worker or nurse must assess the patient. Thirteen states have agreed to try the streamlining of services, but “dual-eligible” patients have shown reluctance to change doctors and systems. States and the federal government currently spend about $300 billion a year on dual-eligibles. The Wall Street Journal (tiered subscription model) (12/23)
Continuity of Care for Vulnerable Seniors
June 21, 2014 By
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.
