As federal officials evaluate state proposals to move millions of the nation’s poorest and sickest individuals into managed care plans, they might consider a recent report from the California HealthCare Foundation.
The report analyzed
California’s year-long transition of 240,000 low-income seniors and
people with disabilities from fee-for-service plans into managed care as
part of a federally approved demonstration project. Beneficiaries had
to pick a managed care plan, or the state assigned one to them.
efforts by state and health plan officials to smooth the transition,
caregivers and others reported “the managed care system … was not prepared” to care for the population’s specific needs, which include complex cases involving mental illness, homelessness and developmental disabilities, the report said.