Reports & Publications

September 2018
Carrie L. Graham, Pi-Ju Liu, Brooke A. Hollister, H. Stephen Kaye, and Charlene Harrington
The cover of the September 2018 issue of Health Affairs

In 2014 California implemented a demonstration project called Cal MediConnect, which used managed care organizations to integrate Medicare and Medicaid, including long-term services and supports for beneficiaries dually eligible for Medicare and Medicaid. Post-enrollment telephone surveys assessed how enrollees adjusted to Cal MediConnect over time. Results showed increased satisfaction with benefits, improved ratings of quality of care, fewer acute care visits, and increased personal care assistance hours over time.

May 2018
Brooke Hollister, Mel Neri, Pi-Ju Liu, Winston Tseng, and Carrie L. Graham
The Cal MediConnect logo

Researchers at the University of California conducted an evaluation of the implementation and impact of the CMC program on health systems and beneficiaries. This research brief examines the implementation of the new CMC care coordination benefit, including the progress made and challenges that remain in coordinating care for dual eligibles. Results are summarized from 94 key informant interviews with health system stakeholders.

 

February 2018
H. Stephen Kaye
A pie chart with five colored slices of pie, divided vertically approximately in the middle.  The left half of the pie is labeled "In labor force (with or without disability)"; it has two slices, one labeled "Employed 41.2%" and the other "Looking for work 11.2%."   The right half is labeled "Not in labor force"; three slices of pie are labeled "Exempted due to disability 27.7%," "Caring for family, attending school, already in work program 14.1%," and "No identified community engagement 5.9%"

In January 2018, the Centers for Medicare and Medicaid Services (CMS) issued guidance that would allow states to use 1115 Waivers to add “work and community engagement” requirements for working-age Medicaid beneficiaries.  This report examines the extent to which disability affects working-age Medicaid beneficiaries, and identifies the subset of beneficiaries with disabilities and work-limiting health conditions who would likely be exempt from proposed Medicaid work requirements or would benefit from modified requirements.

March 2018
Mary Lou Breslin

Many people with disabilities who get paid help with daily activities also need help with health maintenance tasks, such as ostomy care, ventilator management, bowel and bladder care, tube feeding, insulin injections, and management of other medications.  In many states, laws prohibit paid workers without nursing or other medical licenses from performing such tasks.  In others, nurses are permitted to delegate such tasks to these workers.  In some instances, such workers can perform health maintenance tasks under the direction of the consumer, without nurse delegation or supervision.

January 2018
Brooke Hollister, Winston Tseng, Marian Pi-Ju Liu, Mel Neri, Bethany Lee, Charlene Harrington, and Carrie L. Graham
The Cal MediConnect logo

In 2014, California became one of 13 states to implement a financial and administrative alignment demonstration called the Coordinated Care Initiative (CCI). In California, existing Medicare and Medi-Cal (California’s Medicaid program) managed care health plans in seven counties created new products called “Cal MediConnect” (CMC). Researchers from the University of California conducted an evaluation of the impact of the CMC program on beneficiaries and health systems.

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