What is dual demonstration?

What is dual demonstration?

​​​​​​Dual Eligibles Coordinated Care Demonstration – Cal MediConnect. Cal MediConnect combines Medicare and Medi-Cal benefits into one health plan, with additional care coordination benefits.

What is Duals Demonstration population?

Who: California has about 1.1 million dual eligibles beneficiaries, far more than any other state. Nearly seven in ten are 65 and older, and most are women. Approximately one in three are younger people with disabilities, and more than half live on less than $10,000 a year.

What are duals in healthcare?

Dual-eligible beneficiaries (Medicare dual eligibles or “duals”) refers to those qualifying for both Medicare and Medicaid benefits. Dual-eligibles are often in poorer health and require more care compared with other Medicare and Medicaid beneficiaries.

Is Cal MediConnect going away?

Medicare Medi-Cal Aligned Plans The Cal MediConnect program is transitioning on December 31, 2022. The matching Medicare and Medi-Cal plans will work together to deliver all covered benefits to their members.

Is Iehp a Medicare Advantage Plan?

IEHP DualChoice Cal MediConnect Plan (Medicare-Medicaid Plan) is a Health Plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees.

How many dual eligibles are there in 2020?

12.3 million dually
Key facts: There were 12.3 million dually eligible beneficiaries enrolled in both programs in calendar year 2020.

Which patient would be considered dual eligible for federal health care resources?

Persons who are eligible for both Medicare and Medicaid are called “dual eligibles”, or sometimes, Medicare-Medicaid enrollees. Since it can be easy to confuse the two terms, Medicare and Medicaid, it is important to differentiate between them.

Is MediConnect Medi-Cal?

Cal MediConnect is the name of California’s Demonstration. Cal MediConnect is a major component of the Coordinated Care Initiative (CCI), which aims to integrate and coordinate the delivery of health, behavioral and long-term care (LTC) services for duals, seniors and people with disabilities who have Medi-Cal only.

What is CalAIM Medi-Cal?

CalAIM, or California Advancing and Innovating Medi-Cal, is a multiyear process led by the California Department of Health Care Services to improve the health outcomes and quality of life experienced by Medi-Cal enrollees. It is scheduled to begin January 1, 2022.