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The Transition of Seniors and People with Disabilities to Medi-Cal Managed Care: The beneficiary perspective

Researchers from HRA at UC Berkeley’s School of Public Health collaborated with the California Department of Health Care Services and the California HealthCare Foundation, to conduct a rigorous and representative study of the experiences of seniors and people with disabilities (SPD) during and immediately following the transition from fee-for-service to Medi-Cal managed care. The objective of the study was to assess the prevalence of positive, negative, and neutral experiences with notification, choosing a plan, and access to care in their new plan. Additional analysis identified subgroups of beneficiaries who had negative experiences and require additional support during delivery system transitions. Results informed state and federal program officials, legislators, health plan managers, consumer advocates, and other stakeholders. Results are particularly relevant for ongoing efforts to transition SPDs into managed care plans, including the Coordinated Care Initiative, in which SPDs who are dually eligible for Medicare and Medi-Cal will be transitioned to managed care plans beginning in the Spring, 2014.

A PDF of the full report is available below. More information is available on the HRA website about the survey and focus groups and the larger research project.

An issue brief about beneficiaries' experiences moving to Medi-Cal Managed Care is available on the website of the California Healthcare Foundation. An update has been published in Health Affairs.

March 2014