Where the Money Goes: Understanding Medi-Cal’s High-Cost Beneficiaries
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Date: 07/01/10
Publisher: The Lewin Group and Ingenix Government Solutions
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Type: Report
Level: State
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Description:
Report commissioned by California HealthCare Foundation (CHCF)on high cost Medi-Cal beneficiaries, a small but expensive group, which is essential if California is to slow the growth of Medi-Cal spending. Seven percent of Medi-Cal beneficiaries accounted for more than three-quarters of fee-for-service (FFS) program expenditures in FY 2008. Although there is no single definition, this analysis considers high-cost beneficiaries as individuals with Medi-Cal fee-for-service claims costs of $10,000 or more during FY 2008. It is clear that new approaches must better integrate physical health, mental health and long term care services, and that Medi-Cal and Medicare must be better coordinated.
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