The Options Workgroup was established July 2002 with the goal of exploring and developing a recommendation for a fee-for-service option and an “other” option, in addition to the fully integrated model (Healthy San Diego Plus), as directed by the Board of Supervisors. Since that time, the Options Workgroup has evolved into a three-strategy approach to accomplish the benefits of integrating long term care into the mainstream of health and social service delivery in San Diego County. Dr. Mark Meiners, who leads the Medicare/Medicaid Integration Program, a multi-state Robert Wood Johnson Foundation initiative with similar goals and a wealth of relevant experience, has helped San Diego stakeholders develop three strategies that, taken together, will provide San Diego with a multi-faceted approach to improve the coordination and access of all populations with chronic care needs to the full continuum of quality health and social services. These strategies are (1) HSD+/Health Plan Pilots (2) Physician Strategy and (3) Network of Care. Click on the links to learn more about each strategy.
Click here for the highest-level overview of the three LTCIP strategies
General Background Information
Click here to download and read “Integration of Acute and Long Term Care for Dually Eligible Beneficiaries through Managed Care.” This document (80 pages) explains stepping-stones as well as alternatives to fully integrated care for vulnerable populations.
Program Results & Cost Savings Matrix from Selected National LTCI Programs (as of July 2004)
Case Management Model Matrix
Summary of a Typical PACE Model
Background Information By State
California, Los Angeles