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duals Archives - JUSTICE IN AGING

Justice in Aging and Center for Consumer Engagement in Health Innovation Offer Recommendations to Improve Non-Emergency Medical Transport for Older Adults

By | NEWS, News Releases, PRESS RELEASE

November 3, 2016 (Oakland, CA) – A new report released today by the Center for Consumer Engagement in Health Innovation (the Center) and Justice in Aging outlines the importance of Non-Emergency Medical Transportation Services (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. The report, Medicaid Non-Emergency Medical Transportation: An Overlooked Lifeline for Older Adults, can be accessed at Justice in Aging and the Center.

Across the country, 7.1 million Americans rely on NEMT services to get to medical appointments. Yet, every year, an estimated 3.6 million Americans miss or delay health care because of difficulty accessing these critical services. NEMT is an important Medicaid benefit for the people who rely on it to visit their doctors, receive treatment for chronic conditions and travel to settings such as adult day health care. Considering that NEMT represents less than 1 percent of total state and federal Medicaid expenditures and has the potential to prevent much more costly medical care, it provides exceptional value for states.

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

By | ISSUE BRIEF, REPORTS

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.

 

New Legislation in Congress Seeks to Bolster Access to Medicare for Low-Income Seniors and Persons with Disabilities

By | BLOG, HOMEPAGE
By Directing Attorney of Health Jennifer Goldberg and Borchard Fellow Catherine Bourque

Sandy had a good job as a registered nurse, and a middle class standard of living. She lost her husband and her ability to work her physically demanding job around the same time, leaving her with no income. Because of her job as a nurse, she receives just enough Social Security to be disqualified from means-based assistance like Medicaid and subsidized housing. As a result she spends a large percentage of her monthly income on rent, leaving little money to cover food or her Medicare copayments and premiums. Read More

Advocate’s Guide on California’s Coordinated Care Initiative

By | Alerts, CA Health Network Alert, DUAL ELIGIBLES, REPORTS

July 2013 — The Advocate’s Guide to California’s Coordinated Care Initiative helps advocates understand the Coordinated Care Initiative (CCI), a new state program changing the way dual eligible beneficiaries and other seniors and persons with disabilities get their health care in eight California counties.

The guide includes a description of the CCI, information on whom the CCI impacts, how individual beneficiaries are impacted, why it is being implemented and when and where the program is taking place.

The guide, which will be updated as program rules develop and change, includes a pull-out table that an advocate can use to determine who the CCI impacts and how it affects beneficiaries.

The National Senior Citizens Law Center and the Disability Rights Education and Defense Fund (DREDF) coauthored the guide.

Continuity of Care in the Dual Eligible Demonstrations: A Tool for Advocates

By | DUAL ELIGIBLES, REPORTS

May 2013 — A key protection for dual eligibles who are enrolling in the financial alignment demonstration projects being undertaken by states and the Medicare-Medicaid Coordination Office (MMCO) is continuity of care.  Individuals joining plans participating in the financial alignment demonstrations need a smooth transition without disruption in providers or services while their new plan takes over their care.

The five Memorandums of Understanding (MOUs) that have been approved for the financial alignment model -Massachusetts, Ohio, Illinois, California and Virginia-all discuss care continuity, but each is significantly different.  From a beneficiary point of view, each includes some important protections but all have significant gaps.  Using the five MOUs as a starting point, NSCLC identifies important elements in a continuity of care policy that advocates should address with their states. Read NSCLC’s analysis of proposals.

Ensuring Consumer Protection For Dual Eligibles in Integrated Models

By | Affordable Care Act, DUAL ELIGIBLES, Health Care, ISSUE BRIEF, Medicaid, Medicare

This paper is the first in a series of four papers designed to highlight pressing issues facing dual eligibles and provide recommendations to the Medicare-Medicaid Coordination Office, state Medicaid agencies and other interested policymakers and stakeholders on how to address them. The first paper provides recommendations for consumer protections in delivery system models that integrate Medicare and Medicaid. Future papers with focus on differences between Medicare and Medicaid program rules and coverage standards, ideas for integrating the appeals systems of the two programs, and opportunities for improving the delivery of the Qualified Medicare Beneficiary (QMB) benefit.