They are the “dual eligibles” — people who receive both Medicare and Medi-Cal benefits. Trying to coordinate care across two programs — one administered by the state under one set of rules, the other administered by the federal government under its own set of rules — can lead to highly fragmented care for this very costly population.

The goal is improved coordination of care and, ideally, improved health for this fragile population.

In a major shift triggered by the national healthcare law, nearly half a million low-income California seniors and disabled patients will begin moving into a new managed care program this fall. The patients, who receive both Medi-Cal and Medicare, are among the most costly in the state.

Read more at:

State of Health sponsored by

Sponsored by

Become a KQED sponsor