Dual Eligible Opt-Out Percentage High


Enrollment remains low and opt-outs remain high for the state's duals demonstration project, particularly in duals-rich Los Angeles County.

In addition, a sizable percentage of enrollees have disenrolled from the program, according to the most recent data from the Department of Health Care Services, which oversees the project as part of its Coordinated Care Initiative (CCI).

In the governor's proposed fiscal year 2015-2016 budget, the CCI still is listed as cost-effective but that's primarily because the scales are weighted by a managed care organization tax. Without that tax money, the CCI would show a cost, rather than savings. If those numbers don't improve by January 2016, the CCI would end operations. MORE

David Gorn, CaliforniaHealthline.org 2/4/2015