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Managed Care Archives - JUSTICE IN AGING

The Duals Demonstration: A First Glimpse at Lessons Learned

By | DUAL DEMONSTRATIONS, ISSUE BRIEF, Medicaid, Medicare

In January 2016, the Centers for Medicare and Medicaid Services (CMS) released the first ever evaluation of the Financial Alignment Initiative (FAI) known as the dual eligible demonstration.

Since the first dual eligible demonstrations rolled out in August 2013, Justice in Aging has followed the process both through the advocates on the ground who counsel clients directly, through the plans we’ve worked closely with, and through our work directly with the state agencies that administer the demonstrations. As national experts on the issues facing dual eligibles we’ve been both an information hub for advocates and feedback loop for policymakers. As such, we’ve been awaiting the release of the first formal evaluations of the demonstrations to see if they match the information we’ve been receiving. They have been released and we’ve analyzed them and published an issue brief on the findings.

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Advocating for Improved Consumer Protections in Managed Long-Term Services and Supports

By | FACT SHEET, REPORTS

For the past two years, Justice in Aging has provided ongoing assistance to advocates in Florida, Kansas and New Jersey as their states have implemented Medicaid managed care for long-term services and supports (LTSS). This issue brief provides short summaries of the managed care programs in each of those states, and then discusses four specific advocacy
issues that have arisen in the states, along with strategies to address those issues. These issues give a flavor of the various problems that can confront consumers and their advocates in a managed care environment.

Read the report.

ISSUE BRIEF: Medicaid Expansion and Transition Issues for California Seniors and Persons with Disabilities

By | Affordable Care Act, REPORTS

November 2013 –The Affordable Care Act (ACA) will afford millions of uninsured individuals with healthcare coverage through the expansion of Medicaid and the creation of state healthcare exchanges.

A new NSCLC issue brief, Medicaid Expansion in California: Opportunities and Challenges for Older Adults and People with Disabilities, provides an overview of these new coverage options and how they impact seniors and people with disabilities.  The brief also explores how people receiving coverage under Medicaid expansion and exchanges will transition into Medicare coverage when they turn 65 or otherwise become eligible.

The brief is designed to help both advocates and policymakers understand how new coverage options impact seniors and people with disabilities.  The brief will help advocates better prepare to serve their clients and communities.  Policymakers are provided a set of both short-term and long-term recommendations on how to ensure smooth transitions between new coverage options and Medicare.

While the issue brief focuses on how these issues play out in California, much of the information is relevant to advocates and policymakers in other states as well.  NSCLC is excited to work with stakeholder in all states to ensure that the promise of the Affordable Care Act is fulfilled for low-income seniors and would welcome the opportunity to explore these issues in your state.