Transitioning Beneficiaries with Complex Care Needs to Medicaid Managed Care: Insights from California
This brief examines how health service providers, plan administrators, and community-based organizations in Contra Costa, Kern, and Los Angeles Counties experienced the transition of Medi-Cal-only seniors and persons with disabilities (SPDs) to managed care as part of the state’s “Bridge to Reform” Medicaid waiver. Findings presented may inform similar transitions of high-need beneficiaries in other states and coverage expansions in 2014 under the Affordable Care Act. The paper was first released in conjunction with a briefing on Medicaid managed care in the era of health reform.
also of interest
- Medicaid Long-Term Services and Supports: Key Considerations for Successful Transitions from Fee-For-Service to Capitated Managed Care Programs
- California’s Health Care Environment and Health Reform Efforts: June 2013 Update
- Washington's Managed FFS Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries