Category

DUAL ELIGIBLES

Repeal of the ACA—Without a Replacement—Threatens California Seniors

By | Affordable Care Act, BLOG, DUAL DEMONSTRATIONS, DUAL ELIGIBLES, Health Care, Health Care Defense, HOMEPAGE, Medicaid, Medicare | No Comments
There are currently 7.6 million older adults living in California who rely on Medicare, Medi-Cal, and the Affordable Care Act (ACA) to see a doctor, receive care in their home, and pay for prescription drugs. The repeal of the ACA threatens these critical programs, jeopardizing the care seniors receive every day. Read More

Repealing the Affordable Care Act without a Replacement Hurts Seniors

By | Affordable Care Act, BLOG, DUAL ELIGIBLES, Health Care, Health Care Defense, HOMEPAGE, Medicaid, Medicare, Safety Net Defense | No Comments
Every day, whether seniors need to see a doctor, receive care in their home, or pay for prescription drugs, Medicare, Medicaid, and the Affordable Care Act (ACA) are lifelines for older adults. However, the entire health care system upon which older adults rely is at risk in the new Congress. Changes to the ACA will dramatically alter the Medicare and Medicaid programs, and jeopardize the care seniors receive each day. Read More

An Overlooked Lifeline for Older Adults

By | BLOG, DUAL ELIGIBLES, Health Care, HOMEPAGE | No Comments
“When I first booked transportation for my kidney dialysis, they would not let me book more than one month out at a time. What did they think was going to happen, I would stop needing dialysis?” —Diana, on trying to access Medicaid’s non-emergency medical transportation

Diana is one of 7.1 million Americans who rely on Medicaid’s non-emergency transportation benefit (NEMT) to help her get to her medical appointments. NEMT is an important Medicaid benefit for the people who rely on transportation services to help them visit their doctors, receive treatment for chronic conditions, and travel to settings such as adult day health care. Yet, every year, an estimated 3.6 million Americans miss or delay health care because of difficulty accessing these critical services. When transportation services work, they help people get to their doctors and other needed health services so they can continue to live at home and in the community. When they do not work, Medicaid beneficiaries like Diana are left stranded, frustrated, and without access to needed medical care and services. Read More

Cal MediConnect: A Long Way to Go

By | Affordable Care Act, BLOG, DUAL DEMONSTRATIONS, DUAL ELIGIBLES, Health Care, HOMEPAGE, Medicaid, Medicare | No Comments
Evaluation and enrollment data on the Cal MediConnect program reveals that the program has a long way to go to deliver on the promise of integrated person-centered care. While the data contains some promising trends, it also reveals serious deficiencies that demand focused attention from the Centers for Medicare and Medicaid Services (CMS) and the Department of Health Care Services (DHCS).

The Cal MediConnect (CMC) program, which created new health plans integrating Medicare and Medi-Cal benefits for dually eligible beneficiaries, has been in effect for over two years in seven California counties. Enrollment data released by DHCS and a recent series of evaluations, including surveys, focus groups, and polling, paint a picture of how the program is performing and how enrollees are faring so far. Read More

Improving the Oral Health of California’s Older Adults

By | BLOG, DUAL ELIGIBLES, Health Disparities, HOMEPAGE, Oral Health | No Comments

Justice in Aging is excited to launch a new project: Improving Oral Health of California’s Older Adults. Oral health is a critical aspect of overall health for people of all ages, but especially for older adults. Unfortunately, the oral health needs of older adults, and particularly low-income older adults, in California have been neglected. As a result, older adults encounter significant challenges when attempting to access oral healthcare and consequently experience severe mouth pain, tooth loss, and the worsening of chronic conditions like diabetes, hypertension, and diabetes.

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Meeting the Mental Health Needs of Dual Eligibles: An Opportunity for Advocates

By | Alzheimer's & Dementia, BLOG, DUAL DEMONSTRATIONS, DUAL ELIGIBLES, Health Care, HOMEPAGE | No Comments
May is both Older Americans Month and Mental Health Awareness Month. Mental health is a critical issue for older Americans, as one in five seniors has a mental health issue, and older men have the highest suicide rate of any group, according to the CDC. The mental health needs of seniors and persons with disabilities who are dually eligible for Medicare and Medicaid are often overlooked in traditional medical settings, ramping up costs and leading to inadequate care. Read More

State Makes Changes To Managed Care Program For Elderly, Disabled

By | DUAL ELIGIBLES, IN THE NEWS | No Comments

California Healthline: State Makes Changes To Managed Care Program For Elderly, Disabled (5/5/2016) California has made several changes to the Coordinated Care Initiative program. Changes include allowing consumers to request enrollment without a state-contracted enrollment banker and longer transition periods. Automatic enrollment, which “didn’t work very well” said Justice in Aging’s Denny Chan, has been replaced with voluntary enrollment.

Voices of Medicare Summit Highlights Needs of Poor Seniors

By | BLOG, DUAL ELIGIBLES, Health Care, Health Disparities, HOMEPAGE, Medicaid, Medicare | No Comments
At the third annual Center for Medicare Advocacy (CMA) Voices of Medicare Summit earlier this month, I was particularly struck by how many presenters focused on the key role of Medicare for low-income older Americans. In fact, CMS Deputy Administrator and Medicare Director Sean Cavanaugh started off the day by emphasizing CMS’s commitment to make Medicare work for all beneficiaries, including those who are dually eligible for Medicare and Medicaid.

I shouldn’t have been surprised. After all, half of all people on Medicare live on $24,000 or less a year, with 25% living on less than $14,000 a year. Read More

WEBINAR: Dual Eligible Demonstrations and Initiatives: A Spring Update Webinar

By | DUAL ELIGIBLES, Health Care, Medicaid, Medicare, WEBINAR | No Comments
When: Tuesday, April 5, 2016 11:00 A.M. PT/2:00 P.M. ET

This spring marks the 6th anniversary of the passage of the Affordable Care Act, which created the Medicare-Medicaid Coordination Office (MMCO). In the past few years, MMCO, states, and advocates committed incredible resources and time to improving care and services for dual eligible individuals. This webinar provided an update on dual eligible demonstrations and dual eligible initiatives and highlighted areas for future improvement. Read More

WEBINAR: The California Coordinated Care Initiative: An Update Two Years into Implementation

By | CA Health Network Alert, DUAL DEMONSTRATIONS, DUAL ELIGIBLES, WEBINAR | No Comments
When: Thursday, February 18 at 2:00 p.m. PST/5:00 p.m. EST

California began implementation of the Coordinated Care Initiative (CCI), including the federally-approved dual eligible demonstration known as Cal MediConnect, in April 2014. The CCI is now underway in seven counties including Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara.

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