Category

DUAL ELIGIBLES

Fact Sheet: Health Care Provisions in the Bipartisan Budget Act of 2018

By | DUAL ELIGIBLES, FACT SHEET, Medicare

On February 9, Congress passed the Bipartisan Budget Act of 2018 (BBA of 2018). In addition to its budget provisions, the BBA extends and makes changes to several Medicare programs and provides funding for other health programs that support low-income older adults, people with disabilities, and their families.

Justice in Aging has prepared a summary of some of the major health provisions in the BBA of 2018, including funding for Community Health Centers and outreach to low-income Medicare beneficiaries, the Medicare therapy cap repeal, Part D “donut hole” closure, and authorization of Special Needs Plans and other Medicare Advantage changes. As these changes are implemented, Justice in Aging will continue to provide updates and analysis and identify advocacy opportunities.

Read the Fact Sheet

Advocates Guide To California’s Coordinated Care Initiative Version 6

By | Advocate's Guide, CA Health Network Alert, DUAL DEMONSTRATIONS, DUAL ELIGIBLES

The Coordinated Care Initiative (CCI)—including California’s dual eligible demonstration project Cal MediConnect—is well underway in all seven CCI counties including Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara. There have been significant changes to the CCI since the release of Version Five of Justice in Aging’s Advocates Guide to California’s Coordinated Care Initiative in October 2016.

Released today, Version Six of the Guide includes:

  • A description of new and updated CCI policies
  • Additional advocacy tips
  • Evaluation results and new resources

If you have saved or printed Version Five, please replace it with Version Six, because the former now contains outdated information.

If you missed the webinar, Coordinated Care Initiative: 2017 Update, the video is now available.

WEBINAR: Updates on Managed Care for Dual Eligibles and Medicare Coordination Programs

By | DUAL ELIGIBLES, Health Care, Medicaid, Medicare, WEBINAR
When: Wednesday, September 20th at 11:00 a.m. PT/2:00 p.m. ET.

Dual eligible individuals, those with both Medicare and Medicaid coverage, represent the most medically needy and costly population for both Medicare and Medicaid. In an effort improve health outcomes and reduce healthcare spending, the Centers for Medicare and Medicaid Services (CMS) has been testing  financial alignment demonstrations in thirteen states to better coordinate and integrate care for dual eligibles. Read More

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
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
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
“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
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

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
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

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.