Cedars-Sinai Medical Center

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF June 6, 2014 | Archived Issues

Meetings and Events


Grand Rounds

Click here to view upcoming grand rounds.


Upcoming CME Conferences

Click below to view a complete list of all scheduled Continuing Medical Education conferences.

CME Newsletter - June 2014 (PDF)


Milestones

Do you know of a significant event in the life of a medical staff member? Please let us know, and we'll post these milestones in Medical Staff Pulse. Also, feel free to submit comments on milestones, and we'll post the comments in the next issue. Click here to email us your milestones and comments.

Click the "Read more" link to see this issue's milestones.

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Share Your News

Won any awards or had an article accepted for publication? Share your news about professional achievements and other items of interest.

Click here to share your news

Cal MediConnect and Changes for the Dual Eligible

Insurance plan changes are happening for seniors and people with disabilities who are dually eligible for both Medicare and Medi-Cal. This patient population is often referred to as "dual eligible" or "medi-medi."

The biggest change is the launch of a pilot program in California called Cal MediConnect. All dual-eligible patients are receiving notices about this program. Eight counties are included in the Cal MediConnect pilot program: Los Angeles, Orange, San Bernardino, Riverside, San Diego, Alameda, San Mateo and Santa Clara counties.

At this point, Cedars-Sinai is not participating in the Cal MediConnect program. Patients who want to keep coverage for Cedars-Sinai must opt out of Cal MediConnect. By opting out of the program, they will keep the same fee-for-service Medicare benefits, but likely will need to sign up for a Medi-Cal managed health plan, if not already enrolled in one. The Medi-Cal managed care plan will be responsible for covering Medi-Cal benefits, long-term support services and coordinating with Medicare for deductibles and coinsurance.

Cedars-Sinai is in discussions with various payers regarding participation in Cal MediConnect. We will update you if any changes occur.

We have launched several communication vehicles to assist in explaining the options for this important patient population. Among them:

  • Telephone number operated by Cedars-Sinai where beneficiaries can have their questions answered as they relate to keeping coverage for Cedars-Sinai care. (The number is 844-CS-MEDIS (844-276-3347) and is staffed 24 hours a day, seven days a week with translation services available.)
  • Website that includes information on important dates, a glossary of terms, and frequently asked questions at cedars-sinai.edu/duals.
  • Handout that details beneficiaries' options, important dates and instructions to select coverage (translations available for offices and departments upon request).

Changes for Patients With Both Medicare and Medi-Cal (PDF)

  • Handout that explains the Health Plan Choice Form in plain language. At this point, we have only included instructions for how to opt out as Cedars-Sinai is not currently participating in the Cal MediConnect program. (The California Department of Health Care Services is mailing the form to eligible beneficiaries.)

Completing Your Health Plan Choice Form (PDF)

For your information, PDFs of both handouts referenced above are attached to this email. If you are interested in distributing these handouts to your patients, please contact marketing at marketing@cshs.org.

If you have any questions about these insurance plan changes or the Cal MediConnect program, please email duals@cshs.org.