California’s demonstration project, which is funded by the Patient Protection and Affordable Care Act, would enroll a portion of California’s 1.1 million dual eligibles into integrated care delivery models. Selected health plans would receive a monthly payment from both Medicare and Medi-Cal to provide these beneficiaries all necessary health services, and beneficiaries would have a single health plan membership as well as a care team to help coordinate services.
The managed care demonstration is expected to save the state roughly $678.8 million in fiscal year 2012 and $1 billion in FY 2013.
Dual eligibles in the four counties will start enrolling in January 2013, pending CMS approval.
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