Andre Jerald, 27, right, of Los Angeles is in enrolled in both Medicare and Medicaid. Most dual eli

Andre Jerald, 27, right, of Los Angeles is in enrolled in both Medicare and Medicaid. Most dual eligibles like him have traditionally had uncoordinated care. Now the state is trying to save money and improve care by moving some dual eligibles in to managed care. Andre Jerald, 27, shown talking to his mom and holding his Medi–Cal and Medicare cards, is developmentally delayed and enrolled in Medical and Medicare programs. His mother, Shelly Jerald, has diabetes, asthma, arthritis, and is enrolled in Medicare. She takes care of all of his paperwork and medical appointments. (Photo by Allen J. Schaben/Los Angeles Times via Getty Images)