Coordinated Care Ini,a,ve (CCI): An Update

Transcription

1 Coordinated Care Ini,a,ve (CCI): An Update Amber Christ, Senior Staff A2orney Thursday, October 6, 2016

2 All on mute. Use Questions function for substantive questions and for technical concerns. Problems with getting on to the webinar? Send an to Slides and a recording are available at justiceinaging.org/resources-for-advocates/webinars/ See also the chat box for this web address. 2

3 Justice in Aging is a national organization that uses the power of law to fight senior poverty by securing access to affordable health care, economic security, and the courts for older adults with limited resources. Since 1972 we ve focused our efforts primarily on populations that have traditionally lacked legal protection such as women, people of color, LGBT individuals, and people with limited English proficiency. 3

4 Today s Discussion Overview of CCI Enrollment Evaluations Policy Changes What s Next Resources 4

5 CCI = Three Big Changes CCI Change Mandatory Medi-Cal Managed Care LTSS Integra,on Descrip,on Duals and previously excluded SPDs must enroll in Managed Care for Medi-Cal LTSS added to Managed Care plan benefit package Medicare Integra,on (Cal MediConnect) For duals, integraqon of Medicare and Medi-Cal benefits into one managed care plan. 5

6 SPD Dual Eligible Dual Eligible Dual Eligible Dual Eligible Medi-Cal Plan + LTSS Medi-Cal Plan + LTSS Original Medicare Medi-Cal Plan + LTSS Medicare Advantage or D-SNP Cal MediConnect (Medicare + Medi-Cal +LTSS) PACE 6

7 When and Where County Passive Start and End Date Alameda Los Angeles July 2014 June 2015 Orange August 2015 July 2016 Riverside May 2014 March 2015 San Bernardino May 2014 March 2015 San Diego May 2014 March 2015 San Mateo April 2014 Santa Clara January 2015 December

8 Cal MediConnect Enrollment 10,767 Los Angeles 9,314 (9%) (8%) 37,267 (32%) 14,399 (13%) 13,011 (11%) 17,691 13,317 ( 15%) (12%) Total: 115,766 Orange Riverside San Bernardino San Diego San Mateo Santa Clara 8

9 Cal MediConnect Enrollment Rates % % 45% 43% 33% 40% % 10 0 As of September 2016: Enrollment-Dashboard-FINAL.pdf 9

10 Cal MediConnect Opt Out Rates % 51% 37% 39% 42% 41% % 0 As of September 2016: Enrollment-Dashboard-FINAL.pdf 10

11 Cal MediConnect Disenrollment Affirmative Plan Change/ Eligibility Change 0 As of September 2016: Enrollment-Dashboard-FINAL.pdf 11

12 Overall Net Membership Loss by Plan As of September 2016: Enrollment-Dashboard-FINAL.pdf 12

13 Performance Dashboards HRA Comple,on Performance-Dashboard-March-2016-Release.pdf 13

14 Performance Dashboards HRA Comple,on Performance-Dashboard-March-2016-Release.pdf 14

15 Evalua,ons Types SCAN Rapid Cycle Polling 3 waves to date UCSF/UC Berkeley 3 year eval. Focus groups, stakeholder interviews, telephone surveys RTI/CMS EvaluaQon First report released in January For a list of links for all evaluaqons, visit h2p:// evaluaqons/ 15

16 Evalua,on Main Findings CMC overall saqsfacqon mostly the same for those enrolled versus those not enrolled DissaQsfied with noqcing, changing doctors Most saqsfied with care coordinators However, only 1/3 report having a care coordinator Opt out because happy with current health care coverage or not wanqng to lose doctor h2p:// 16

17 Cal MediConnect Updates Program Improvements ConQnuity of Care Expanded 6 months to 12 months ExisQng relaqonship: no disqncqon between PCP and specialist (both once in 12 months) StandardizaQon of HRA QuesQons Best PracQces Sessions Voluntary Enrollment Strategy 17

18 Cal MediConnect Updates Policy Changes Streamlined Enrollment All plans can now accept enrollment transacqons Submit transacqon to HCO HCO confirms enrollment Deeming Discharge Planning 18

19 What s Coming MLTSS Enrollment RTI California EvaluaQon Budget 2016/2017 Budget: The Administration proposes to continue to implement the CCI in Over the course of the next year, the Administration will seek ways to improve participation in the program and extend an allowable managed care organization tax. If the tax is not extended and participation is not improved by January 2017, the CCI would cease operating effective January h2p:// pp

20 New Resources Beneficiary Toolkit Provider Toolkit Care CoordinaQon 20

21 Jus,ce in Aging Resources Get the Advocates Guide to the CCI Version Five! Sign up for CCI Alerts Fact Sheets Trainings h2p://dualsdemoadvocacy.org/california Amber Christ Denny 21