California Health Advocates joined Justice in Aging and other partners across the state in submitting comments to the Department of Health Care Services regarding their plan to expand access to integrated care to all dual eligibles in California.
For the past 6 years, seven counties have been a part of a demonstration project called Cal MediConnect (CMC), that is meant to integrate dual eligibles’ Medicare and Med-Cal coverage and services under one plan. California has led the way with the largest enrollment in a Medicare-Medicaid type plan in the country with 102,359 duals enrolled in the program as of December 2019, and evaluation data demonstrates success in both improving quality and integration of care while reducing costs. Yet, DHCS now proposes to terminate this integrated model in the seven CCI counties and transition to a statewide system of Dual-Special Needs Plans (D-SNPs) and Medi-Cal plans, with efforts to align those plans under the same parent company. As proposed, this design fails to capture the progress made to integrate care through the CCI and represents a significant step backwards in the delivery of integrated care.
Therefore, Justice in Aging, CHA and other advocates jointly submitted this letter with 14 recommendations for DHCS. If all recommendations are implemented, the new proposed D-SNP system can offer “improved, integrated, person-centered care; protect the rights of the state’s dual eligibles; focus on equity and address disparities; and address all of a dual eligible’s healthcare needs by promoting the delivery of care in the least restrictive setting.”
Read the letter for details: Expanding Access to Integrated Care for Dual Eligible Californians.