PUBLICATIONS

Justice in Aging publishes frequent issue briefs, reports and advocate’s guides that help on-the-ground advocates assist low-income older adults and persons with disabilities deal with often complex challenges related to federal and state benefits programs. Many of the issue briefs are also reflected in our ongoing, free webinar trainings. To ensure that you receive updates on the latest reports or trainings, sign up for our health or income network alerts.

Issue Briefs & Fact Sheets

Why the Recently-Revised Nursing Home Regulations are Vital for Nursing Home Residents

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Consumer protection is a critical part of federal oversight for nursing facilities. The federal government issued revised nursing facility regulations in September, and most provisions became effective on November 28. The regulations are the product of over four years of work by the Centers for Medicare & Medicaid Services, including significant modifications in response to public comments received in mid-2015.

The new fact sheet, Why the Recently-Revised Nursing Home Regulations are Vital for Nursing Home Residents, provides a quick overview of some of the important new provisions, so that stakeholders and policymakers can better understand the revised regulations’ important role in improving nursing facility care. The revised regulations provide many benefits to nursing facility residents, including an increased focus on addressing a resident’s needs and preferences.

This fact sheet was developed by Justice in Aging in partnership with The National Consumer Voice for Quality Long-Term Care.

Series: A Closer Look at the Revised Nursing Facility Regulations

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The federal government issued revised nursing facility regulations in September, and most provisions became effective on November 28. Now is the time for advocates, providers, and others to better understand how the regulations are changing nursing facility care.

Justice in Aging, in partnership with The National Consumer Voice for Quality Long-Term Care, and the Center for Medicare Advocacy, is developing a series of issue briefs on different aspects of the revised regulations, entitled A Closer Look at the Revised Nursing Facility RegulationsThe series kicked off with a Fact Sheet entitled, Why the Recently Revised Nursing Home Regulations are Vital for for Nursing Home Residents. 

The series of issue-specific briefs are available below:

Assessments, Care Planning, and Discharge Planning

Involuntary Transfer and Discharge

Unnecessary Drugs and Antipsychotic Medications

Nursing Services

Medicaid Non-Emergency Medical Transportation (NEMT): An Overlooked Lifeline for Older Adults

By | ISSUE BRIEF, REPORTS | No Comments

Low-income older adults depend on Medicaid’s non-emergency medical transportation (NEMT) benefit for transportation services to and from medical services. Nearly 7.1 million Americans rely on it. Yet, every year, an estimated 3.6 million Americans miss or delay health care because of difficulty accessing these critical services.

With our partners at Community Catalyst’s Center for Consumer Engagement in Health Innovation, we created an issue brief, Medicaid Non-Emergency Medical Transportation: An Overlooked Lifeline for Older Adults.

The brief outlines the importance of NEMT for older adults and people with disabilities, details the challenges faced by users, and offers a series of recommendations based on promising state practices.

For a quick overview of the full brief, visit our blog. You can also view the accompanying webinar here.

 

Medicaid Managed Care Tool

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The federal government published new Medicaid managed care regulations on May 6, 2016. The new regulations are extensive, and will affect every aspect of Medicaid coverage provided through managed care.  The new regulations will be phased in over time from 2016 through 2019.

Justice in Aging has developed this tool to assist advocates in using and analyzing the new regulations.  With this tool, you can search for regulations by section number, section title, the key issue the provision addresses, and effective date. The tool also provides a summary and background on each provision and offers advocacy tips where applicable.

Note: This tool includes all of the managed care regulations that are effective on or before July 5, 2016.  By mid-July 2016, the tool will be revised to include all of the managed care regulations, regardless of effective date.

Definitions
Rating Periods: Many provisions are effective based on rating periods. Rating periods are the twelve month period for which capitation rates are developed under a managed care contract.

Plan(s): We employ the term “plan” as an umbrella term to include all managed care entities subject to the regulations including Managed Care Organizations (MCOs), Prepaid Inpatient Ambulatory Health Plans (PIHPs), Prepaid Ambulatory Health Plans (PAHPs), and Primary Care Case Management (PCCMs). If a provision applies to a certain type of managed care entity, we specify this in the summary and background. Read More

Special Reports

Unique Legal Needs of Low-Income LGBT Seniors

The intersection of poverty and discrimination creates an array of unique legal needs for older LGBT individuals. A new Special Report by Justice in Aging, produced in partnership with Services and Advocacy for Gay, Lesbian, Bisexual, & Transgender Elders (SAGE), offers an overview and practical tips for legal aid organizations seeking to serve this population. The Report, How Can Legal Services Better Meet the Needs of Low-Income LGBT Seniors? is accompanied by a short video that highlights the diversity of the LGBT community and the gaps in equality its members face as they age.

READ THE REPORT

Homeless Among Older Adults

More older adults are homeless or at risk of homelessness than at any time in recent history. This special report, How to Prevent and End Homelessness Among Older Adults, created in partnership with The National Alliance to End Homelessness, outlines the problem and recommends policy solutions that can be put in place now to ensure that all older adults have a safe place to age in dignity, with affordable health care, and sufficient income to meet their basic needs.

READ THE REPORT

Advocacy Starts at Home

In this report, Advocacy Starts at Home: Strengthening Supports for Low-Income Older Adults and Family Caregivers, Justice in Aging draws the connection between fighting senior poverty, supporting caregivers, and the services needed to help older adults. The stress and expense of caregiving will touch every one of us at some point in our lives, but it can be devastating for poor families. In the paper, we identify clear solutions that will benefit everyone, while providing poor families with the basic support system they need to ensure that older adults in their families can age at home in dignity.

READ THE REPORT

Articles & Op-Ed

How Legal Aid Programs Can Address the Growing Problem of Senior Poverty

Legal aid organizations can play a critical role in securing the rights and benefits of the increasing number of older adults living in poverty. Justice in Aging attorneys Jennifer Goldberg, Fay Gordon, and Kate Lang authored a Special Feature for Management Information Exchange for Legal Aid (MIE) offering suggestions to help legal aid organizations structure their services to have the most impact, reach older adults with the greatest need, and increase their organizational capacity to serve low-income older adults.

READ THE ARTICLE

Medicaid and Supplemental Security Income Eligibility: Time for a Tune-Up

Medicaid and SSI are two essential programs that fight senior poverty by ensuring that low-income older Americans can meet their basic needs and maintain their health. In operation for 50 years (Medicaid) and 40 years (SSI), these workhorse programs are indispensable for seniors. But as the population ages and income inequality increases, both programs need retooling to improve benefits and increase access for more people who need them.

Justice in Aging attorneys Georgia Burke, Jennifer Goldberg, and Kate Lang published Medicaid and Supplemental Security Income Eligibility: Time for a Tune-Up,” in the spring issue of the National Academy of Elder Law Attorneys (NAELA) Journal.

READ THE ARTICLE

New national center aims to enhance legal services for older adults

Early this year, Justice in Aging will launch the new National Center on Law and Elder Rights (NCLER). We are pleased to introduce the aging network to NCLER, a destination for legal and aging advocates who need legal resources to better serve older adults.

Read more from Justice in Aging attorney Fay Gordon in the op-ed New national center aims to enhance legal services for older adults,” from the January-February issue of Aging Today – the bimonthly newspaper of the American Society on Aging.

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Balance billing: a tragic trend that is hurting our poorest elders

Every time I visit the doctor I get a bill for $15.27. I know I should not be receiving these, but I don’t want to ‘rock the boat.’ The doctor is in walking distance, so I don’t need to take public transportation. That saves me a lot because my income is only $329 a month. I ultimately do not know what I should and shouldn’t pay. I really feel anxious. I do not know what is going to happen with my healthcare.

I received two bills that I know I should not have received. I was sick and I needed the care, so I just paid them.

These stories reflect a growing trend of poor older adults being illegally billed for healthcare services covered by Medicare and Medicaid.

Read more from Justice in Aging’s Eric Carlson and Fay Gordon in the op-ed Balance billing: a tragic trend that is hurting our poorest elders,” from the May-June 2016 issue of Aging Today – the bimonthly newspaper of the American Society on Aging.

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