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Fragile, Rural Population to Be Moved Into Medi-Cal Managed Care
Next month, state health officials will launch a transition of rural Medi-Cal beneficiaries into Medi-Cal managed care health plans. The transition involves about 20,000 of the most frail and elderly segment of the rural Medi-Cal population.
Next month, state health officials will launch a transition of rural Medi-Cal beneficiaries into Medi-Cal managed care health plans. The transition involves about 20,000 of the most frail and elderly segment of the rural Medi-Cal population—seniors and persons with disabilities.
"Most of them have a disability or high levels of functional impairment," said Carrie Graham, assistant director of research at the University of California, Berkeley's Health Research for Action. "They have multiple chronic conditions, they need a lot of specialty care, they have a lot of prescriptions, they need medical equipment and supplies."
They're people who are on a precarious medical ledge—poor people with big medical needs, no Medicare benefits, and a whisper-thin web of cobbled-together providers and services. It's the type of population that has a hard time with transitions, Ms Graham said.
Read more: http://bit.ly/1ss5xKz
Source: California Healthline
Neurologists Share Tips for Securing Patient Access to Gene Therapies
March 19th 2025Tenacious efforts at every level, from the individual clinician to the hospital to the state to Congress, will be needed to make sure patients can access life-saving gene therapies for neuromuscular diseases.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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The Impact of Cost Sharing on High-Value Care
March 14th 2025Michael Chernew, PhD, professor of health care policy and director of the Healthcare Markets and Regulation Lab, Harvard Medical School, shares how cost-sharing policies shape access to critical health care services and influence value-based insurance design.
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