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CA to Receive $1M for Medi-Medi Coordination

Earlier today, the Department of Health and Human Services (HHS) announced that California will be one of 15 states to receive federal funding to develop better ways to coordinate care for people with both Medicare and Medicaid coverage, also known as “dual eligibles” or “Medi-Medi’s.”

Dual eligibles are often people with the most complex and costly health care needs, and this program will hopefully:
(1) eliminate duplicative services for these patients,
(2) expand access to care and improve the lives of dual eligibles, and
(3) lower costs spent on the Medi-Medi population.

The other 14 recipient-states are: Colorado, Connecticut, Massachusetts, Michigan, Minnesota, New York, North Carolina, Oklahoma, Oregon, South Carolina, Tennessee, Vermont, Washington and Wisconsin.

According to CMS administrator Donald Berwick, “beneficiaries who are in both Medicare and Medicaid can face different benefit plans, different rules for how to get those benefits and potential conflicts in care plans among providers who do not coordinate with each other. This can be disastrous for those beneficiaries who are most vulnerable and in need of help.”

Congratulations, California!