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Duals Demonstration Passive Enrollment Starts Aug. 1 in Orange County
Posted: June 28, 2015

Passive enrollment for the Medicare/Medi-Cal duals demonstration will begin on Aug. 1, in Orange County. If patients do nothing, they will automatically be enrolled in CalOptima for their Medi-Cal and Medicare benefits. The California Department of Health Care Services (DHCS) reports most of these patients are already enrolled in Cal Optima for their Medi-Cal benefits. Affected patients will be notified by CalOptima 90, 60 and 30 days prior to their enrollment date, which means the first enrollee notices were mailed by the plan at the end of April. A brochure will be released in conjunction with the 60-day notice in June. Individuals will be automatically enrolled over a 12-month period based on birth month.

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LA Groups Honored in Annual CAPG Survey
Posted: June 28, 2015

The CAPG physicians trade association has announced the results of its 2015 Standards of Excellence survey.

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Orange County Medical Groups Honored in Annual CAPG Survey
Posted: June 28, 2015

The CAPG physicians trade association has announced the results of its 2015 Standards of Excellence survey.

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Nationwide Sweep Nets 243, Including Medical Southern California Professionals, in Alleged Medicare Fraud Schemes Worth $712M
Posted: June 28, 2015

Attorney General Loretta E. Lynch and Department of Health and Human Services (HHS) Secretary Sylvia Mathews Burwell announced recently a nationwide sweep, led by the Medicare Fraud Strike Force in 17 districts, that resulted in charges against 243 individuals, including 46 doctors, nurses and other licensed medical professionals, for alleged participation in Medicare fraud schemes involving approximately $712 million in false billings.

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Covered California to Collect Insurance Company Data from 1.4 Million Program Enrollees
Posted: June 28, 2015

The health insurance exchange created for Californians under the Affordable Care Act plans to start gathering insurance company data from its enrollees.

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