Thousands of California's 'dual eligibles' rejecting state-managed healthcare — 7 things to know

Hundreds of thousands of California's older seniors and disabled young people who receive both Medi-Cal and Medicare benefits are rejecting the new state-managed healthcare pilot program, according to UCLA Newsroom.

UCLA researchers are conducting research to understand why residents are rejecting the program.

Here are seven things to know:

1. The opt-out rate for Cal MediConnect is 45 percent. Cal MediConnect was created to better coordinate medical care and long-term support services for the "dual eligibles" population and get rid of the potential overlaps in service under Medi-Cal and Medicare.

2. For Cal MediConnect, the outpaced enrollment rate is 30 percent.

3. In Orange County, the opt-out rate reached 69 percent. San Mateo has the lowest opt-out rate (13 percent).

4. Older consumers are opting out at higher rates than their younger counterparts. In Los Angeles, 63 percent of consumers ages 90 and older opted out compared to 48 percent of consumers ages 21 to 64.

5. Russian-speaking eligibles had the highest opt-out rates in Los Angeles, San Diego and Santa Clara counties — 92 percent, 79 percent and 72 percent respectively.

6. On the other hand, Spanish speakers in many counties had the lowest opt-out rates, from 26 percent to 29 percent in each county, except Orange and Los Angeles counties.

7. To gain a better grasp on the issue, researchers will conduct 50 individual interviews and six group sessions with dual-eligible consumers and caregivers in Los Angeles.

Learn more about key strategies & technologies for efficient, cost-effective ASCs — Click here!

More healthcare news:
Surgery Partners' EBITDA reaches $40M, Medical Facilities reports a 90% payout ratio & more— 5 key notes on ASC companies
Leader in stem-cell research expands in New York — 5 key facts
Which specialty experiences the most burnout? — 5 takeaways

Copyright © 2022 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Featured Learning Opportunities

Featured Webinars

Featured Whitepapers

Featured Podcast