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California stumbles at shifting care for costly patients
California stumbles at shifting care for costly patients

California's ambitious effort to save billions of dollars by changing how the state's costliest patients get treated is on the ropes. The Obamacare program was designed to reduce medical costs by putting more of the nation's 11 million most challenging and expensive patients into tightly managed care. But the rollout in California — one of the first states spearheading the effort — has been marred by widespread confusion, enrollment glitches and a revolving door of health officials. Sixty percent of eligible patients have rejected the program, and state leaders are demanding to see financial savings in a year. Most of the patients suffer from multiple chronic...

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