The UCSF Community Living Policy Center and the UC Berkeley Health Research for Action Center conducted an evaluation of Cal MediConnect (CMC), part of California’s Coordinated Care Initiative (CCI). The evaluation uses focus groups and a representative telephone survey to assess beneficiaries’ experiences with care, including access, quality, and coordination. The evaluation also examines service delivery system response to the initiative in several sectors, including health plans, medical care providers, behavioral health, skilled nursing, and home and community-based services.
As part of this three-year evaluation, in early 2016 researchers conducted a representative telephone survey with 2,139 beneficiaries who were dually eligible to examine their experiences with Cal MediConnect. Researchers compared the experiences of CMC beneficiaries with those who opted out and those who reside in non-CCI counties to identify areas where experiences are significantly better or worse than those who did not participate.
Key findings from the telephone survey include:
- Most Cal MediConnect beneficiaries are satisfied with their benefits.
- Continuity of care is important to beneficiaries.
- Access to care improved for about a quarter of beneficiaries in CMC, with the most significant improvements seen in the areas of prescription medication, equipment or supplies, vision, and dental benefits.
- Care coordination from Cal MediConnect plans is working well and having a care coordinator helped ease the transition into Cal MediConnect.
- Cal MediConnect plans are coordinating LTSS, but more needs to be done to reduce unmet needs for those needing personal care assistance.
- Cal MediConnect notifications showed room for improvement.
- Beneficiaries had many reasons for opting out of Cal MediConnect that reach beyond “fear of change.”
For full details of the telephone survey findings and the complete evaluation, including comments from the California Department of Health Care Services, click here or visit www.thescanfoundation.org.