Evaluation of Cal MediConnect
The Coordinated Care Initiative
is a federally funded demonstration program (pilot program) in California that combines Medicaid and Medicare services for people who qualify for both. This is expected to make care better and easier to get for beneficiaries, while saving money through administrative efficiencies. Health Research for Action is collaborating with the UCSF Community Living Policy Center
and Institute for Health & Aging
to evaluate California's dual financial alignment demonstration
: Dually eligible beneficiaries often have a complex array of needs, including medical care, mental health care, and long-term services and supports. Health plans in seven California counties are offering adults who are eligible for both Medicare and Medi-Cal a new health plan called Cal MediConnect, which aims to coordinate medical, behavioral health, long-term institutional, and home- and community-based services through a single organized delivery system. Roughly 400,000 beneficiaries may be affected by the program.
Researchers from UC Berkeley's Health Research for Action are collaborating with researchers from UC San Francisco's Institute for Health & Aging. The evaluation includes focus groups and a longitudinal telephone survey with beneficiaries to examine their experiences with Cal MediConnect, as well as key informant interviews with stakeholders (including health plan representatives) to identify how the health system in affected counties has responded to the demonstration. Focus groups have been completed. The key informant interviews and telephone survey are ongoing.
The study also examines service-delivery system response to the initiative in several sectors, including health plans, medical care providers, behavioral health, skilled nursing, and home- and community-based services. The 3-year evaluation began in January 2015. It will gather information throughout the program period from:
- Focus groups with beneficiaries who transitioned to Cal MediConnect
- Telephone surveys with dually eligible beneficiaries at different points in time
- Interviews with key health care and social service providers in the seven participating counties