Health Affairs November 27, 2023
As the population of dual eligible individuals increases across the country, state investment in health and social systems that provide high-quality integrated care is critical to meet the needs of this diverse population. Success depends on routine stakeholder outreach and engagement in policy making. California’s decade-long commitment to enhancing high quality, coordinated care for dual eligible individuals has involved robust stakeholder engagement and been successful in establishing innovative person-centered policies for those enrolled in integrated care.
California’s experience transitioning from its Cal MediConnect Financial Alignment Initiative (FAI) demonstration to Exclusively Aligned Enrollment Dual Eligible Special Needs Plans (EAE D-SNPs) offers lessons for other states considering new integrated care models for dual eligible individuals. The following case study details how California...