Findings from Waves 1-4 of the Rapid Cycle Polling Project

Findings from Waves 1-4 of the Rapid Cycle Polling Project
Overall Los Angeles Findings from Waves 1-4 of the Rapid Cycle Polling Project Riverside San Bernardino San Diego conducted for The SCAN Foundation In conjunction with The California Department of Health Care Services by Field Research Corporation, San Francisco, California November 2016 Santa Clara San Mateo Orange

Overall Survey Objectives Los Angeles To evaluate and track over time the transitioning of beneficiaries to coordinated care under Cal MediConnect (CMC). By assessing the confidence and satisfaction of CMC enrollees with the health services they are receiving. By comparing CMC enrollees’ level of confidence and satisfaction with beneficiaries who chose to opt out of CMC or who live in non-CMC counties. By understanding the factors associated with eligible beneficiaries choosing to opt out of CMC. Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall About the Surveys (1) Los Angeles Survey method • Telephone interviews with stratified random samples of dual eligible beneficiaries in Cal MediConnect (CMC) counties, as well as beneficiaries in two non-CMC counties for control purposes. Data collection periods • Wave 4 Survey: July – September 2016 • Wave 3 Survey: February – April 2016 • Wave 2 Survey: October – November 2015 • Wave 1 Survey: June – September 2015 Populations surveyed • All Waves: CMC enrollees and opt-outs in 5 counties (Los Angeles, Riverside, San Bernardino, San Diego, and Santa Clara), and two non-CMC counties (San Francisco and Alameda) • Waves 3 and 4 were expanded to also include CMC enrollees and opt outs in two additional counties (San Mateo and Orange) Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall About the Surveys (2) Los Angeles Sample Sizes by Survey Wave • Wave 4: 3,212 interviews, including 1,647 CMC enrollees, 1,005 CMC opt-outs, and 560 beneficiaries in non-CMC counties. • Wave 3: 3,301 interviews, including 1,704 CMC enrollees, 1,026 CMC opt-outs, and 571 beneficiaries in non-CMC counties. • Wave 2: 2,500 interviews, including 1,370 CMC enrollees, 690 CMC opt-outs, and 440 beneficiaries in non-CMC counties. • Wave 1: 2,502 interviews, including 1,394 CMC enrollees, 678 CMC opt-outs, and 430 beneficiaries in non-CMC counties. Sample Sizes Waves (aggregated) • CMC Enrollees: 6,115 in total, including 1,926 in Los Angeles, 838 in Riverside, 857 in San Bernardino, 802 in San Diego, 862 in Santa Clara, 526 in San Mateo and 304 in Orange. • CMC Opt-Outs: 3,399 in total, including 1,530 in Los Angeles, 426 in Riverside, 462 in San Bernardino, 412 in San Diego, 301 in Santa Clara, 130 in San Mateo and 138 in Orange. Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Findings in Brief Overall Los Angeles Riverside San Bernardino
San Diego Santa Clara San Mateo Orange

Health care assessments of enrollees & opt-outs (1)
Overall Health care assessments of enrollees & opt-outs (1) Los Angeles Riverside Confidence in managing their health conditions Large majorities of enrollees continue to express confidence that they know how to manage their health conditions (83%), can get questions about their health needs answered (83%) and know who to call if they have a health need or question (84%). These findings are similar to the levels of confidence expressed by enrollees in Wave 3 earlier this year, but are somewhat higher that what enrollees reported in Waves 1 and 2 in The confidence levels expressed by opt-outs do not differ significantly from the confidence levels expressed by enrollees, and are generally similar to those reported by opt-outs in the first two survey waves. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Health care assessments of enrollees & opt-outs (2) Los Angeles Riverside Satisfaction with the health care services they are receiving Large majorities of enrollees – ranging from 76% to 86% – report being satisfied with the health care services they are receiving in each of seven areas tracked by the survey. Satisfaction levels are similar to those observed in Wave 3, but are higher than those observed in Waves 1 and 2 in several areas. These include satisfaction with their choice of doctors, the way different providers work together, and the information their health plan gives them to explain their benefits. Large majorities of opt-outs in Wave 4 – ranging from 77% to 89% – are also satisfied with the health care services they are receiving across the same seven areas. The satisfaction levels of opt-outs are mostly similar to the findings observed among enrollees, although slightly larger proportions of opt-outs report being satisfied with their choice of doctors, their choice of hospitals and the amount of time their doctor and other staff spends with them. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Health care assessments of enrollees & opt-outs (3) Los Angeles Riverside Problems encountered with their health care Relatively small proportions of enrollees say they encountered any of six potential problems with their health services. The two most commonly reported problems are that a doctor they had been seeing was no longer available through their plan (19%) or that they had a misunderstanding about their health care services or coverage (16%). These proportions are similar to what was reported earlier this year in Wave 3, but tend to be lower than the proportions who reported these problems in earlier waves. Similar to prior waves, slightly more CMC enrollees than opt-outs mentioned in Wave 4 that a doctor they were seeing is not available through their health plan. However, similar to Wave 3, slightly fewer enrollees than opt-outs report that transportation problems prevented them from getting needed care in Wave 4. San Bernardino San Diego Santa Clara San Mateo Orange

Reasons given by opt-outs for not participating in CMC
Overall Reasons given by opt-outs for not participating in CMC Los Angeles Riverside The reasons given by opt-outs for choosing not to participate in Cal MediConnect in Wave 4 generally mirror those found in prior survey waves. The three most frequently cited reasons for not participating are that they were satisfied with current service/didn't want to make a change (86%), didn't want to risk losing their doctor (72%), or didn't want to risk losing their medicines (63%). Slightly less than half also say they didn't understand the information they received enough to make the change (46%) or thought their benefits or services might be reduced (44%). Relatively few (16%) report that their doctor or other health provider recommended that they not participate in the program. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Reported use of single care managers and personal health plans by enrollees & opt-outs Los Angeles Riverside No differences are observed in Wave 4 between enrollees and opt-outs with regard to their reported use of single care managers.1 About one in three enrollees (34%) and opt-outs (34%) said they had a single care manager, of whom about two-thirds said that they felt having such a manager improves their care a lot. The Wave 4 survey also finds no differences between enrollees and opt- outs with regard to having a personal care plan.2 Similar proportions of enrollees (36%) and opt-outs (38%) said they had such a plan, of whom about two in three maintained that having such a plan improved their care a lot. A single care manager was defined in the survey as a nurse or other helper from their health plan who serves as their main point of contact and can arrange all aspects of their care. A personal care plan was defined in the survey as a plan designed to take into account their health goals, needs and preferences. San Bernardino San Diego Santa Clara San Mateo Orange

Reported hospitalization of enrollees and opt-outs
Overall Reported hospitalization of enrollees and opt-outs Los Angeles Riverside A somewhat smaller percentage of enrollees than opt-outs report having been an overnight patient in a hospital in the recent past. When examining the results of enrollees and opt-outs from all waves of the study, 24% of enrollees and 30% of opt-outs report having been an overnight patient at a hospital in the previous 12 months. Similar differences are observed when examining the results from the Wave 4 survey only. When examining the aggregated results from all waves of the study at the county level, lower levels of hospitalization are reported by enrollees than by opt-outs in three counties: Los Angeles, San Diego and Orange counties. The differences in hospitalization among enrollees and opt-outs are noteworthy, especially given that no significant differences in self-reported health status are observed between the two populations. However, compared to enrollees, opt- outs do include somewhat larger proportions of LTSS beneficiaries and those who use specialized equipment. San Bernardino San Diego Santa Clara San Mateo Orange

Demographic characteristics of enrollees & opt-outs (1)
Overall Demographic characteristics of enrollees & opt-outs (1) Los Angeles Riverside Majorities of both enrollees and opt-outs are women. However, women comprise a slightly larger share of those who decided to opt-out of Cal MediConnect (60%) than those who are enrolled in the program (54%). The highest proportion of female enrollees is found in San Mateo County, where 62% are women, while Los Angeles County has the lowest at 53%. Among opt-outs, Orange County has the highest proportion of women at 65%, while San Diego County has the lowest at 57%. Large majorities of both enrollees and opt-outs are people of color, with Latinos comprising the largest segment of both groups, accounting for 44% of enrollees and 43% of opt-outs. Just 26% of enrollees, and an even smaller proportion of opt-outs (22%), are white non-Hispanic. Note: The findings in these section are based on the aggregated results of enrollees and opt-outs across all four waves of the survey. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Demographic characteristics of enrollees & opt-outs (2) Los Angeles Riverside There are relatively large variations in the ethnic composition of enrollees and opt-outs across the seven CMC counties. Los Angeles County has the highest proportion of Latinos – 49% among enrollees and 44% among opt-outs. Both Santa Clara and San Mateo counties have larger proportions of Asian American enrollees and opt-outs than do the other CMC counties. There are no significant differences between enrollees and opt-outs by age, with about a third of each population are under age 65, a third are age 65-74, and another third are age 75 or older. However, some variations in the age distributions of beneficiaries are evident across the seven CMC counties. Orange County beneficiaries tend to be older, with nearly half of its enrollees and opt-outs age 75 or older. San Bernardino County beneficiaries tend to be younger, with greater than four in ten enrollees and opt-outs under age 65, while only about one in four are age 75 or older. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Demographic characteristics of enrollees & opt-outs (4) Los Angeles Riverside One of the more distinguishing demographic characteristics of dual eligible beneficiaries for both enrollees and opt-outs relates to their relatively low levels of educational attainment. Greater than four in ten enrollees and opt- outs have not graduated from high school, and another one in five have no more than a high school degree. Very few – 13% of enrollees and 14% of opt- outs – are college graduates. There is relatively little variation across individual counties on this dimension. One exception is San Mateo County where about as many enrollees are college graduates (26%) as have not graduated from high school (28%). Greater than six in ten enrollees (62%) and opt-outs (63%) report receiving Supplemental Security Income assistance from the federal government. There is relatively little variation about this by county, with majorities of enrollees and opt-outs in each county reportedly receiving such assistance. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Findings Across the Four Survey Waves
Los Angeles Riverside San Bernardino Overall Findings Across the Four Survey Waves San Diego Santa Clara San Mateo Orange

1. CMC enrollee confidence in managing their health conditions
Overall 1. CMC enrollee confidence in managing their health conditions Los Angeles Riverside Very large majorities of CMC enrollees in the Wave 4 survey continue to express confidence that they know how to manage their health conditions (83%), can get questions about their health needs answered (83%) and know who to call if they have a health need or question (84%). These results are not statistically different from the levels of confidence expressed by enrollees in Wave 3, but are somewhat higher that what enrollees reported in the first two survey waves. There are no significant differences between the confidence levels expressed by CMC enrollee and CMC opt-outs on each measure. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table 1 Confidence that beneficiaries know how to manage their health conditions, can get their questions answered, and know who to call Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

2. CMC enrollee satisfaction with their health services
Overall 2. CMC enrollee satisfaction with their health services Los Angeles Riverside Large majorities of CMC enrollees in Wave 4 – ranging from 76% to 86% – report being satisfied with the health services they are receiving in each of seven areas. Satisfaction levels expressed by CMC enrollees in Wave 4 are similar to those observed in Wave 3, but are slightly higher than the proportions who reported being satisfied in earlier waves in several areas. These include satisfaction with their of doctors, the way different providers work together, and the information their health plan gives them to explain their benefits. A slightly larger proportion of CMC opt-outs than enrollees in Wave 4 express satisfaction with the amount of time their doctor and other staff spend with them, their choice of doctors, and their choice of hospitals. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table 2 Satisfaction with different aspects of the health care services beneficiaries are receiving (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table 2 Satisfaction with different aspects of the health care services beneficiaries are receiving (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange N/A: Question not asked in Waves 1 or 2.

Overall 3. Specific problems encountered by CMC enrollees with their health services Los Angeles Riverside Similar to prior survey waves, no single issue is cited in the Wave 4 survey by more than one in five CMC enrollees as a problem they encountered since changing over to Cal MediConnect. The two most commonly reported problems encountered by CMC enrollees were that a doctor they had been seeing was no longer available through their plan (19%) and that they had a misunderstanding about their health care services or coverage (16%). The proportions citing each are similar to Wave 3, but tend to be lower than the proportions who reported these problems in earlier waves. Similar to prior waves, slightly more CMC enrollees than opt-outs or beneficiaries in non-CMC counties mentioned in Wave 4 that a doctor they were seeing is not available through their plan. However, similar to Wave 3, slightly fewer enrollees than opt-outs report that transportation problems prevented them from getting needed care. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table 3 Specific problems encountered with health services in the past year (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table 3 Specific problems encountered with health services in the past year (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Small sample base.

Overall 4. Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect Los Angeles Riverside The reasons given by opt-outs in the Wave 4 survey for choosing not to participate in Cal MediConnect are very similar to what has been reported in prior survey waves. The three most frequently cited reasons continue to be: 86% Satisfied with my current health service/ didn't want to make a change 72% Didn't want to risk losing my doctor 63% Didn't want to risk losing any of my medicines In addition, slightly less than half of the opt-outs also report these two other reasons for not participating: 46% Didn't understand the information I received about the new program enough to make the change 44% Thought my benefits and services might be reduced San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table 4 Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange N/A: Question not asked in Waves 1 or 2.

Overall 5. Demographic characteristics of enrollees and opt-outs across the seven CMC counties (1) Los Angeles Riverside To increase the reliability of the estimates, all four waves of the survey were combined when comparing the demographic characteristics of enrollees to those who chose not to participate in Cal MediConnect in the CMC counties. The following are the demographic characteristics of each population: Majorities of both enrollees and opt-outs are women, although women constitute a slightly larger proportion of opt-outs (60%) than enrollees (54%). A large majority of both CMC enrollees and opt-outs are people of color. For example, among enrollees 44% are Latino, 12% African American and 11% Asian American, while just 26% are white non-Hispanic. The distributions are similar among opt-outs with 43% Latino, 13% African American and 13% Asian American. Just 22% of opt-outs are white non- Hispanic, a slightly smaller proportion than is observed among enrollees. About two-thirds of both enrollees and opt-outs are age 65 or older, while about one in three are under age 65. Among beneficiaries over age 65 about half are between ages 65 and 74 and about half are age 75 or older. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table 5 Comparing the demographic characteristics of enrollees and opt-outs in CMC counties (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Percentages shown are the combined totals for enrollees and opt-outs in CMC counties across all survey waves.

Overall 5. Demographic characteristics of enrollees and opt-outs across the seven CMC counties (2) Los Angeles Riverside One of the more distinguishing demographic characteristics of both enrollees and opt-outs in the CMC counties relates to their relatively low levels of educational attainment. Among both groups over four in ten have not graduated from high school, while another one in five have no more than a high school degree. Very few – 13% of enrollees and 14% of opt-outs – are college graduates. Nearly two-thirds of both enrollees (62%) and opt-outs (63%) report receiving Supplemental Security Income assistance benefits from the federal government. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table 5 Comparing the demographic characteristics of enrollees and opt-outs in CMC counties (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Differences between 100% and the sum of percentages for each characteristic equal proportion not reporting an answer.

Overall 6. Health-related characteristics of enrollees and opt-outs across the seven CMC counties Los Angeles Riverside No differences are observed in the self-reported health status of enrollees and opt-outs, with about half of enrollees (49%) and opt-outs (50%) saying they are in fair or poor health. However, compared to enrollees, opt-outs include somewhat larger proportions of LTSS beneficiaries who require assistance for their common daily activities, those who use specialized equipment, or report having been hospitalized in the past year. Among opt-outs 45% include LTSS beneficiaries who require assistance for common daily activities. This compares to 40% among CMC enrollees. More opt-outs (52%) than enrollees (48%) also report using specialized equipment, such as a cane, wheelchair, scooter or special bed. A slightly larger proportion of opt-outs (30%) than enrollees (24%) say they have been an overnight patient in a hospital in the past 12 months. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table 6 Comparing the health characteristics of enrollees and opt-outs in CMC counties Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Percentages shown are the combined totals for enrollees and opt-outs in CMC counties across all survey waves.

Overall 7. Length of time beneficiaries have been going to their personal doctor Los Angeles Riverside Similar to prior waves, larger proportions of CMC enrollees than opt-outs or beneficiaries in non-CMC counties report they have been seeing the doctor whom they consider their personal doctor for 1 year or less. However, the proportion of CMC enrollees reporting this in Wave 4 (22%) is lower than what was observed in Wave 1 (30%) and Wave 2 (28%). Conversely, in each survey wave fewer CMC beneficiaries than opt-outs or beneficiaries in non-CMC counties report having been with their personal doctor for 6 or more years. In Wave 4, 39% of CMC enrollees reported this, compared to 47% of opt-outs and 46% of beneficiaries in non-CMC counties. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table 7 Length of time beneficiaries have been going to the doctor they consider their personal doctor Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Asked only of beneficiaries who report having a personal doctor. Differences between 100% and the sum of the percentages for each group equal proportion who could not give an estimate.

8. Beneficiaries' experiences with single care managers*
Overall 8. Beneficiaries' experiences with single care managers* Los Angeles Riverside About one in three beneficiaries who are CMC enrollees, CMC opt-outs, or who live in non-CMC counties report in Wave 4 that they had a single care manager, such as a nurse or other helper from their health plan, who serves as their main point of contact and arranges all aspects of their care. In addition, similar proportions (about two-thirds) of those with single care managers across each beneficiary segment in Wave 4 say that having such a manager has improved their care "a lot.” San Bernardino San Diego Santa Clara San Mateo Orange * Single care manager described as “the person who serves as your main point of contact and arranges all aspects of your care.”

Overall Table 8 Beneficiaries who report having a single care manager* (such as a nurse or other helper from their health plan) and its perceived impact on the quality of their care Los Angeles Riverside CMC CMC Non-CMC enrollees opt-outs counties W3 W4 W3 W4 W3 W4 Has a single care manager 36% 34% 35% 34% 38% 34% Has improved care… A lot A little Not at all Not reported San Bernardino San Diego Santa Clara San Mateo Orange * Single care manager described as “the person who serves as your main point of contact and arranges all aspects of your care.” Note: Question not asked in Waves 1 and 2.

9. Beneficiaries' experiences with a personal care plan*
Overall 9. Beneficiaries' experiences with a personal care plan* Los Angeles Riverside Thirty-six percent of CMC enrollees report in Wave 4 that they have a personal care plan that takes into account their health goals, needs and preferences. This is not statistically different than the proportion of opt-outs reporting this (38%), but is slightly lower than what is reported by beneficiaries in the two non-CMC control counties (42%). Across each segment about two-thirds of beneficiaries with personal care plans say that having such a plan has improved their care “a lot.” San Bernardino San Diego Santa Clara San Mateo Orange * Personal care plan described as a plan designed to take into account your health goals, needs and preferences.

Overall Table 9 Beneficiaries who report having a personal care plan* and its perceived impact on the quality of their care Los Angeles Riverside CMC CMC Non-CMC enrollees opt-outs counties W3 W4 W3 W4 W3 W4 Has a personal care plan 33% 36% 38% 38% 40% 42% Has improved care… A lot A little Not at all Not reported San Bernardino San Diego Santa Clara San Mateo Orange * Personal care plan described as a plan designed to take into account your health goals, needs and preferences. Note: Question not asked in Waves 1 and 2.

Los Angeles County: Aggregated Results from Waves 1-4
Overall Los Angeles Riverside San Bernardino Los Angeles County: Aggregated Results from Waves 1-4 San Diego Santa Clara San Mateo Orange

Overall 1. CMC enrollee confidence in managing their health conditions in Los Angeles County Los Angeles Riverside Both CMC enrollees and opt-outs in Los Angeles County express similar high levels of confidence that they know how to manage their health conditions, can get questions about their health needs answered and know who to call of they have a health need or question. In each area, about eight in ten of both Los Angeles County enrollees and opt-outs express confidence in their ability to manage their condition. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table LA-1 Confidence that beneficiaries know how to manage their health conditions, can get their questions answered, and know who to call Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall 2. CMC enrollee satisfaction with their health services in Los Angeles County Los Angeles Riverside While large majorities of CMC enrollees in Los Angeles County (between 77% and 87%) say they are satisfied with the health care services they are receiving in each of seven areas measured, slightly more CMC opt-outs than enrollees are satisfied in four areas. These include: Choice of doctors (81% among enrollees vs. 87% among opt-outs) Choice of hospitals (78% vs. 83%) The way different providers work together (80% vs. 83%) How long you have to wait to see a doctor when you need an appointment (78% vs. 81%). San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table LA-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table LA-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 3. Specific problems encountered by CMC enrollees with their health services in Los Angeles County Los Angeles Riverside Relatively small proportions of enrollees and opt-outs in Los Angeles County say they encountered any of six specific problems relating to their health services in the recent past. The two most frequently mentioned problems, reported by about one in five of both groups are that a doctor they were seeing is not available through their plan or they had a misunderstanding about their health care services or coverage. When comparing the incidence of problems reported by enrollees to those of opt-outs, enrollees are somewhat more likely to report that a doctor they were seeing is not available through their plan. San Bernardino San Diego Santa Clara San Mateo Orange

Specific problems encountered with health services in the past year
Overall Table LA-3 Specific problems encountered with health services in the past year Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall 4. Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect in Los Angeles County Los Angeles Riverside Majorities of opt-outs in Los Angeles County cite three main reasons for choosing not to participate in Cal MediConnect. These include being satisfied with their current health care services/didn't want to make a change (87%), didn't want to risk losing my doctor (74%) and didn't want to risk losing their medicines (62%). Slightly less than half also report not understanding the information they received about the new program (48%) or that they thought their benefits and services might be reduced (43%). San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table LA-4 Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 5. Demographic characteristics of CMC enrollees and opt-outs in Los Angeles County Los Angeles Riverside About half of CMC enrollees in Los Angeles County are Latino (49%), a slightly larger proportion than is found in the opt-out population (44%). On the other hand, women comprise a somewhat larger share of the opt-out population in Los Angeles County (60%) than they do of CMC enrollees (54%). Three in ten of both enrollees and opt-outs in Los Angeles County are under age 65, while 70% are age 65 or older. A large plurality of both CMC enrollees (45%) and opt-outs (44%) in Los Angeles County have not graduated from high school. Very small proportions are college graduates – 11% among enrollees and 14% among opt-outs. Greater than six in ten of CMC enrollees (61%) and opt-outs (63%) in the county say they receive Supplemental Security Income assistance benefits from the federal government. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table LA-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table LA-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Differences between 100% and the sum of percentages for each characteristic equal proportion not reporting an answer.

Overall 6. Health-related characteristics of CMC enrollees and opt-outs in Los Angeles County Los Angeles Riverside A somewhat smaller proportion of CMC enrollees (24%) than beneficiaries who opted out in Los Angeles County (31%) say they were an overnight patient in the hospital in the past 12 months. This is noteworthy, especially since no statistically significant differences are observed in the self-reported health status of the two populations. About half of CMC enrollees (48%) and opt-outs (50%) in the county report being in fair or poor physical health. However, a slightly larger proportion of opt-outs (52%) than enrollees (48%) does report using specialized equipment, such as a cane, wheelchair, scooter or special bed or report requiring assistance for common daily activities (45% vs. 40%). San Bernardino San Diego Santa Clara San Mateo Orange

Comparing the health characteristics of CMC enrollees and CMC opt-outs
Overall Table LA-6 Comparing the health characteristics of CMC enrollees and CMC opt-outs Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Riverside County: Aggregated Results from Waves 1-4
Overall Los Angeles Riverside San Bernardino Riverside County: Aggregated Results from Waves 1-4 San Diego Santa Clara San Mateo Orange

Overall 1. CMC enrollee confidence in managing their health conditions in Riverside County Los Angeles Riverside Both CMC enrollees and opt-outs in Riverside County express similar high levels of confidence that they know how to manage their health conditions, can get questions about their health needs answered and know who to call of they have a health need or question. In each area, greater than eight in ten of both Riverside County enrollees and opt-outs express confidence in their ability to perform these tasks. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table RIV-1 Confidence that beneficiaries know how to manage their health conditions, can get their questions answered, and know who to call Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall 2. CMC enrollee satisfaction with their health services in Riverside County Los Angeles Riverside Large majorities of CMC enrollees in Riverside County (between 73% and 84%) say they are satisfied with the health care services they are receiving in seven areas measured. However, slightly larger proportions of CMC opt-outs than enrollees in the county report being satisfied in two areas. These include: Choice of hospitals (77% among enrollees vs. 85% among enrollees) Amount of time the doctor or other staff spend with them (84% vs. 88%) San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table RIV-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table RIV-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 3. Specific problems encountered by CMC enrollees with their health services in Riverside County Los Angeles Riverside Relatively small proportions of enrollees and opt-outs in Riverside County say they encountered any of six specific problems relating to their health services in the recent past. The two most commonly reported problems are that a doctor they were seeing is not available through their plan or that they had a misunderstanding about their health care services or coverage. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table RIV-3 Specific problems encountered with health services in the past year Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Small sample base.

Overall 4. Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect in Riverside County Los Angeles Riverside The two most commonly reported reasons opt-outs in Riverside County cite for choosing not to participate in Cal MediConnect are that they were satisfied with their current health care services/didn't want to make a change (85%), and didn't want to risk losing their doctor (68%). Another 56% say they didn't want to risk losing any of their medicines, 49% didn't understand the information they received about the new program and 42% thought their benefits and services might be reduced. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table RIV-4 Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 5. Demographic characteristics of CMC enrollees and opt-outs in Riverside County Los Angeles Riverside Slightly less than half of CMC enrollees in Riverside County are Latino (45%), while among opt-outs, a 53% majority are Latino. Women comprise a somewhat larger share of the opt-out population (60%) than they do of the county’s CMC enrollees (54%). Greater than four in ten enrollees in Riverside County are under age 65 (41%), 34% are age and 25% are age 75 or older. This differs slightly from the age distribution of opt-outs, of whom 36% are under age 65, 33% are age and 31% are age 75 or older. A plurality of CMC enrollees (44%) in Riverside County have not graduated from high school, and this increases to 50% among opt-outs. Very small proportions of beneficiaries in the County are college graduates – 9% among enrollees and 6% among opt-outs. Nearly two in three of CMC enrollees and opt-outs in the County (64%) say they receive Supplemental Security Income assistance benefits from the federal government. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table RIV-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table RIV-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Differences between 100% and the sum of percentages for each characteristic equal proportion not reporting an answer.

Overall 6. Health-related characteristics of CMC enrollees and opt-outs in Riverside County Los Angeles Riverside Similar majorities of CMC enrollees and opt-outs in the county (56% each) report being in fair or poor physical health. More than half of both enrollees (53%) and opt-outs (55%) also report using specialized equipment, such as a cane, wheelchair, scooter or special bed, and slightly less than half (45% among enrollees and 47% among opt-outs) require assistance in performing common daily activities. There are no differences in self-reported hospitalization of enrollees and opt- outs in the county, with slightly more than one in four enrollees (27%) and opt- outs (28%) reporting this. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table RIV-6 Comparing the health characteristics of CMC enrollees and CMC opt-outs Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

San Bernardino County: Aggregated Results from Waves 1-4
Overall Los Angeles Riverside San Bernardino San Bernardino County: Aggregated Results from Waves 1-4 San Diego Santa Clara San Mateo Orange

Overall 1. CMC enrollee confidence in managing their health conditions in San Bernardino County Los Angeles Riverside When asked whether they are confident that they know how to manage their health conditions, 84% of enrollees and 82% of opt-outs say they are. While 82% of enrollees say they are confident that they can get their questions about their health needs answered, an even larger proportion of opt-outs (88%) report this. Similar large majorities of enrollees (86%) and opt-outs (84%) also say they know who to call if they have a health need or question. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SB-1 Confidence that beneficiaries know how to manage their health conditions, can get their questions answered, and know who to call Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall 2. CMC enrollee satisfaction with their health services in San Bernardino County Los Angeles Riverside While large majorities of CMC enrollees in San Bernardino County (between 71% and 85%) are satisfied with the health care services they are receiving in each of the seven areas measured, slightly more CMC opt-outs than enrollees report being satisfied in three areas. These include: Amount of time their doctor or other staff spend with them (85% among enrollees vs. 90% among opt-outs) Choice of doctors (82% vs. 87%) How long you have to wait to see a doctor when you need an appointment (71% vs. 77%) San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SB-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SB-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 3. Specific problems encountered by CMC enrollees with their health services in San Bernardino County Los Angeles Riverside Relatively small proportions of enrollees or opt-outs in the county say they encountered any of six specific problems relating to their health services in the recent past. The two most commonly reported problems are that a doctor they were seeing was not available through their plan or that they had a misunderstanding about their health care services or coverage. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SB-3 Specific problems encountered with health services in the past year Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Small sample base.

Overall 4. Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect in San Bernardino County Los Angeles Riverside Majorities of opt-outs in San Bernardino County cite three main reasons for choosing not to participate in Cal MediConnect. They include being satisfied with their current health care services/didn't want to make a change (86%), didn't want to risk losing their doctor (64%) and didn't want to risk losing their medicines (58%). In addition, slightly less than half cite as a reason that they did not understand the information they received about the new program (44%), while 38% thought their benefits and services might be reduced. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SB-4 Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 5. Demographic characteristics of CMC enrollees and opt-outs in San Bernardino County Los Angeles Riverside There are about as many white non-Hispanics as Latinos among enrollees and opt-outs in San Bernardino County, with each group accounting for slightly more than a third of the total. Another 14%-15% are African American. Relatively few enrollees or opt-outs in San Bernardino County are Asian American. Women comprise a somewhat larger share of the opt-out population in San Bernardino County (59%) than they do among CMC enrollees (54%). A relatively large proportion of enrollees and opt-outs in the county are under age 65, comprising 44% of the County's enrollee population and 43% of all opt- outs. By contrast, only about a quarter of enrollees or opt-outs in the County are age 75 or older. Slightly fewer than four in ten CMC enrollees (39%) and opt-outs (38%) in San Bernardino County have not graduated from high school. Only 10% of each group are college graduates. About two in three of both CMC enrollees (66%) and opt-outs (65%) say they receive Supplemental Security Income assistance benefits from the federal government. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SB-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SB-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Differences between 100% and the sum of percentages for each characteristic equal proportion not reporting an answer.

Overall 6. Health-related characteristics of CMC enrollees and opt-outs in San Bernardino County Los Angeles Riverside About half of CMC enrollees (52%) and opt-outs (53%) in San Bernardino County say they are in fair or poor physical health. Slightly less than half of enrollees (47%) and opt-outs (45%) say they require assistance for common daily activities. Similar proportions of enrollees and opt-outs in the county – about one in four – say they have been an overnight patient in a hospital in the past year. However, a slightly larger proportion of opt-outs (57%) than enrollees (51%) say they use specialized equipment, such as a cane, wheelchair, scooter or special bed. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SB-6 Comparing the health characteristics of CMC enrollees and CMC opt-outs Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

San Diego County: Aggregated Results from Waves 1-4
Overall Los Angeles Riverside San Bernardino San Diego County: Aggregated Results from Waves 1-4 San Diego Santa Clara San Mateo Orange

Overall 1. CMC enrollee confidence in managing their health conditions in San Diego County Los Angeles Riverside Both CMC enrollees and opt-outs in San Diego County express similar high levels of confidence that they know how to manage their health conditions, can get questions about their health needs answered and know who to call of they have a health need or question. In each area, about eight in ten of both enrollees and opt-outs express confidence in their ability to perform each task. Opts-outs are somewhat more likely than enrollees to say they are confident that they can get answers to questions they might have about their health needs. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SD-1 Confidence that beneficiaries know how to manage their health conditions, can get their questions answered, and know who to call Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall 2. CMC enrollee satisfaction with their health services in San Diego County Los Angeles Riverside While large majorities of CMC enrollees in San Diego County (between 74% and 84%) say they are satisfied with the health care services they are receiving in each of seven areas measured, slightly fewer enrollees than opt-outs say they are satisfied in three areas. These include: Choice of doctors (78% among enrollees vs. 86% among opt-outs) Choice of hospitals (81% vs. 87%) The amount of time their doctor or other staff spends with them (84% vs. 88%) On the other hand, a slightly larger proportion of CMC enrollees than opt-outs in the county say they are satisfied with the information their health plan explaining their benefits. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SD-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SD-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 3. Specific problems encountered by CMC enrollees with their health services in San Diego County Los Angeles Riverside Relatively small proportions of enrollees or opt-outs say they encountered any of six specific problems relating to their health services in the recent past. Most frequently mentioned are that a doctor they were seeing is not available through their plan or they had a misunderstanding about their health care services or coverage. In each case, about one in five enrollees and opt-outs report experiencing this problem. A third issue, that transportation problems kept them from getting need health care, is more likely to be mentioned by opt-outs than by enrollees. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SD-3 Specific problems encountered with health services in the past year Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Small sample base.

Overall 4. Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect in San Diego County Los Angeles Riverside Majorities of opt-outs in San Diego County cite three main reasons for choosing not to participate in Cal MediConnect. These include being satisfied with their current health care services/didn't want to make a change (82%), didn't want to risk losing their doctor (67%) or didn't want to risk losing any of their medicines (56%). Less than half also report not understanding the information they received about the new program (44%) or they thought their benefits and services might be reduced (40%). San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SD-4 Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 5. Demographic characteristics of CMC enrollees and opt-outs in San Diego County Los Angeles Riverside There are about as many white non-Hispanics as Latinos among both the enrollee and opt-out populations in San Diego County, with each group accounting for slightly more than a third of the total. The enrollee and opt-out populations in San Diego County are also similar in most of their other demographic characteristics. A majority of both enrollees (54%) and opt-outs (57%) are women. Slightly more than a third of each group are under age 65, about nearly two thirds of age 65 or older. About one in three CMC enrollees (37%) and opt-outs (36%) in San Diego County have not graduated from high school, while relatively few are college graduates. Greater than six in ten of CMC enrollees (65%) and opt-outs (63%) in the County say they receive Supplemental Security Income assistance benefits from the federal government. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SD-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SD-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Differences between 100% and the sum of percentages for each characteristic equal proportion not reporting an answer.

Overall 6. Health-related characteristics of CMC enrollees and opt-outs in San Diego County Los Angeles Riverside A smaller proportion of CMC enrollees (24%) than opt-outs (33%) in San Diego County report having been an overnight patient in a hospital in the past 12 months. About half of CMC enrollees (49%) and opt-outs (52%) report being in fair or poor physical health. These differences are not statistically significant. However, a slightly larger proportion of opt-outs (51%) than enrollees (44%) say they use specialized equipment, such as a cane, wheelchair, scooter or special bed, and opt-outs (47%) are also more likely than enrollees (37%) to report requiring assistance for common daily activities. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SD-6 Comparing the health characteristics of CMC enrollees and CMC opt-outs Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Santa Clara County: Aggregated Results from Waves 1-4
Overall Los Angeles Riverside San Bernardino Santa Clara County: Aggregated Results from Waves 1-4 San Diego Santa Clara San Mateo Orange

Overall 1. CMC enrollee confidence in managing their health conditions in Santa Clara County Los Angeles Riverside While large majorities of CMC enrollees and opt-outs in Santa Clara County express confidence that they know how to manage their health conditions and can get questions about their health needs answered, enrollees express somewhat lower levels of confidence than opt-outs. For example, while 79% of enrollees say they are confident that can perform each of these two tasks, among opt-outs 87% and 88%, respectively, report this. There are no differences between enrollees and opt-outs in the County with regarding to knowing who to call if they have a health need or question. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SC-1 Confidence that beneficiaries know how to manage their health conditions, can get their questions answered, and know who to call Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall 2. CMC enrollee satisfaction with their health services in Santa Clara County Los Angeles Riverside While large majorities of CMC enrollees in Santa Clara County (between 72% and 83%) say they are satisfied with the health care services they are receiving in each of seven areas measured, slightly fewer enrollees than opt-outs report being satisfied in five areas. These include: The amount of time their doctor or other staff spend with them (83% among enrollees and 88% among opt-outs) The information their health plan gives explaining their benefits (72% vs. 80%) Choice of doctors (79% vs. 88%) Choice of hospitals (79% vs. 89%) The way different providers work together (78% vs. 84%) San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SC-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SC-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 3. Specific problems encountered by CMC enrollees with their health services in Santa Clara County Los Angeles Riverside Relatively small proportions of enrollees and opt-outs in Santa Clara County say they encountered any of six specific problems relating to their health services in the recent past. About one in five CMC enrollees say that a doctor they were seeing is not available through their plan or that they had a misunderstanding about their health care services or coverage. While similar proportions of opt- outs also cite these two problems, another one in five say they were denied a treatment or referral for another service recommended by a doctor or that transportation problems kept them from getting need health care. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SC-3 Specific problems encountered with health services in the past year Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Small sample base.

Overall 4. Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect in Santa Clara County Los Angeles Riverside Majorities of opt-outs in Santa Clara County cite three main reasons for choosing not to participate in Cal MediConnect. These include being satisfied with their current health care services/didn't want to make a change (86%), didn't want to risk losing their doctor (72%) or didn't want to risk losing their medicines (60%). No other problems are cited by more than 38%. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SC-4 Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 5. Demographic characteristics of CMC enrollees and opt-outs in Santa Clara County Los Angeles Riverside A relatively large proportion of the CMC enrollees in Santa Clara County are Asian American (30%), and Asian Americans comprise an even greater share of the county’s opt-outs (37%). Latinos account for the next largest share of both enrollees and opt-outs, followed by white non-Hispanics. About one in three of the CMC enrollees (34%) and 29% of opt-outs in Santa Clara County have not graduated from high school. At the other end of the scale, college graduates account for 23% of the county’s enrollees, and 20% of its opt-outs. The enrollee and opt-out populations in Santa Clara County are similar on most of their other demographic characteristics. For example: A majority of both enrollees (57%) and opt-outs (60%) are women. About three in ten of each group are under age 65, while greater than four in ten are age 75 or older. About six in ten of CMC enrollees and opt-outs say they receive Supplemental Security Income assistance from the federal government. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SC-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SC-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Differences between 100% and the sum of percentages for each characteristic equal proportion not reporting an answer.

Overall 6. Health-related characteristics of CMC enrollees and opt-outs in Santa Clara County Los Angeles Riverside Slightly fewer enrollees (42%) than opt-outs (49%) in Santa Clara County report being in fair or poor physical health. There are no significant differences between enrollees and opt-outs on three other health-related measures – using specialized equipment, such as a cane, wheelchair, scooter or special bed, requiring assistance to perform common daily activities and being an overnight patient in a hospital in the past 12 months. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SC-6 Comparing the health characteristics of CMC enrollees and CMC opt-outs Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

San Mateo County: Aggregated Results from Waves 3 and 4
Overall Los Angeles Riverside San Bernardino San Mateo County: Aggregated Results from Waves 3 and 4 San Diego Santa Clara San Mateo Orange

Overall 1. CMC enrollee confidence in managing their health conditions in San Mateo County Los Angeles Riverside Both CMC enrollees and opt-outs in San Mateo County express similar high levels of confidence that they know how to manage their health conditions and can get questions about their health needs answered. In each area, greater than eight in ten say they are confident that they can perform each task. There are also no significant differences between enrollees and opt-outs in the county with regard to knowing who to call if they have a health need or question. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SM-1 Confidence that beneficiaries know how to manage their health conditions, can get their questions answered, and know who to call Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall 2. CMC enrollee satisfaction with their health services in San Mateo County Los Angeles Riverside While large majorities of CMC enrollees in San Mateo County (between 74% and 88%) say they are satisfied with the services they are receiving in each of seven areas, on each measure even larger proportions of CMC opt-outs report being satisfied. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SM-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SM-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 3. Specific problems encountered by CMC enrollees with their health services in San Mateo County Los Angeles Riverside Fewer than one in five enrollees say they encountered any of six specific problems relating to their health services in the recent past. Most commonly reported was having a misunderstanding about their health care services or coverage (19%). Among opt-outs, about one in four (26%) reports that a transportation problem kept them from getting need health care, more than twice the proportion of enrollees (11%) reporting this. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SM-3 Specific problems encountered with health services in the past year Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange N/A: Not available due to very small sample base.

Overall 4. Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect in San Mateo County Los Angeles Riverside Majorities of opt-outs in San Mateo County cite three main reasons for choosing not to participate in Cal MediConnect. These include being satisfied with their current health care services/didn't want to make a change (88%), didn't want to risk losing any of their medicines (63%), and didn't want to risk losing a doctor (61%). Two other reasons are cited by about four in ten – thought their benefits might be reduced (44%), and didn't understand the information they received about the new program (42%). San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SM-4 Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 5. Demographic characteristics of CMC enrollees and opt-outs in San Mateo County Los Angeles Riverside White non-Hispanics account for a larger share of San Mateo County's CMC enrollees (33%) than are found among its opt-outs (19%). By contrast, Latinos comprise a far larger share of the county's opt-outs (49%) than they do of its enrollees (29%). Significant proportions of the enrollees (26%) and opt-outs (19%) in the county are Asian American. About six in ten of both enrollees (62%%) and opt-outs (59%) are women. The age distributions of enrollees and opt-outs in the county are also similar, with about three in ten under age 65, a similar proportion age and about four in ten age 75 or older. Fewer than half of CMC enrollees in the county (47%) have no more than a high school education. This compares to 57% among opt-outs. Majorities of both enrollees (59%) and opt-outs (66%) say they are receiving Supplemental Security Income assistance from the federal government. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SM-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SM-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Differences between 100% and the sum of percentages for each characteristic equal proportion not reporting an answer.

Overall 6. Health-related characteristics of CMC enrollees and opt-outs in San Mateo County Los Angeles Riverside Fewer than half of enrollees in San Mateo County (45%) report being in fair or poor physical health. By contrast, a 57% majority of opt-outs report this. However, there are no significant differences between the enrollee and opt-out populations with regard to their using specialized equipment, requiring assistance to perform common daily activities, or being an overnight patient in a hospital in the past 12 months. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table SM-6 Comparing the health characteristics of CMC enrollees and CMC opt-outs Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Orange County: Aggregated Results from Waves 3 and 4
Overall Los Angeles Riverside San Bernardino Orange County: Aggregated Results from Waves 3 and 4 San Diego Santa Clara San Mateo Orange

Overall 1. CMC enrollee confidence in managing their health conditions in Orange County Los Angeles Riverside Nearly eight in CMC enrollees in Orange County express confidence that they know how to manage their health conditions, can get questions about their health needs answered and know who to call if they have a health need or question. Opt-outs express significantly higher levels of confidence than enrollees in two areas – knowing how to manage their health conditions and knowing who to call when they have a health need or question. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table OR-1 Confidence that beneficiaries know how to manage their health conditions, can get their questions answered, and know who to call Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall 2. CMC enrollee satisfaction with their health services in Orange County Los Angeles Riverside Large majorities of CMC enrollees in Orange County (between 72% and 82%) are satisfied with the health services they are receiving across the seven areas measured. However, even larger proportions of opt-outs in the county report being satisfied in three areas. These include: Choice of hospitals (73% among enrollees vs. 84% among opt-outs) The way different providers work together (81% vs. 89%) Ability to call a health provider regardless of the time of day (72% vs. 81%) San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table OR-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table OR-2 Satisfaction with different aspects of the health care services beneficiaries are receiving (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 3. Specific problems encountered by CMC enrollees with their health services in Orange County Los Angeles Riverside Relatively small proportions of CMC enrollees and opt-outs in Orange County say they encountered any of six specific problems with their health services in the recent past. Most commonly reported among enrollees are that a doctor they were seeing was no longer available through their plan (20%) or that they had a misunderstanding about their health care services or coverage (17%). Among opt-outs 21% report having a misunderstanding about their health care services or coverage, while 19% each report that a doctor they were seeing was not available through their plan or that they were denied a treatment or referral for another service recommended by a doctor. Another 16% also report that transportation problems kept them from getting needed care. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table OR-3 Specific problems encountered with health services in the past year Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange N/A: Not available due to very small sample base.

Overall 4. Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect in Orange County Los Angeles Riverside Most opt-outs in Orange County cite two main reasons for choosing not to participate in Cal MediConnect. These include being satisfied with their current health care services/didn't want to make a change (93%) or didn't want to risk losing a doctor (71%). Another 58% say they didn't want to risk losing their medicines, while 45% thought their benefits might be reduced and 39% say they didn't understand the information they received about the new program. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table OR-4 Reasons CMC opt-outs give for choosing not to participate in Cal MediConnect Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange * Asked only in Waves 3 and 4.

Overall 5. Demographic characteristics of CMC enrollees and opt-outs in Orange County Los Angeles Riverside About half of CMC enrollees (45%) and opt-outs (50%) in Orange County are Latino. However, significantly more enrollees (36%) than opt-outs (23%) are white non-Hispanic. Women comprise a somewhat smaller share of enrollees in the county (56%) than among opt-outs (65%). Beneficiaries, both enrollees and opt-outs, skew older in Orange County. Only about one in five enrollees (21%) and opt-outs (23%) are under age 65, while nearly half are age 75 or older. Slightly less than four in ten CMC enrollees (36%) in Orange County have not graduated from high school, while among opt-outs 44% say this. At the other end of the scale, 17% of enrollees and 22% of opt-outs in the county are college graduates. Slightly fewer enrollees (55%) than opt-outs (65%) in the county say they are receiving Supplemental Security Income assistance from the federal government. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table OR-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (1) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table OR-5 Comparing the demographic characteristics of CMC enrollees and CMC opt-outs (2) Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange Note: Differences between 100% and the sum of percentages for each characteristic equal proportion not reporting an answer.

Overall 6. Health-related characteristics of CMC enrollees and opt-outs in Orange County Los Angeles Riverside Significantly fewer enrollees (21%) than opt-outs (34%) in Orange County report having been an overnight patient in the hospital in the past year. This is noteworthy, especially since similar proportions of both enrollees and opt-outs in Orange County (37%) report being in fair or poor physical health. There are also no significant differences between the enrollee and opt-out populations who report requiring assistance to perform common daily activities. However, a slightly larger proportion of enrollees (45%) than opt-outs (32%) say they use specialized equipment, such as a cane, wheelchair, scooter or special bed. San Bernardino San Diego Santa Clara San Mateo Orange

Overall Table OR-6 Comparing the health characteristics of CMC enrollees and CMC opt-outs Los Angeles Riverside San Bernardino San Diego Santa Clara San Mateo Orange

Findings from Waves 1-4 of the Rapid Cycle Polling Project

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Findings from Waves 1-4 of the Rapid Cycle Polling Project

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