In The News
Kaiser Health News Long Term Care Ombudsmen Face Challenges to Independence (1-27-2013) NSCLC Directing Attorney Eric Carlson says that ombudsman programs outside of state governments are less subject to political pressure
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NSCLC Helps
Corazon, 72, came close to losing her adult day health care benefits because of a problem with managed care related to needed heart surgery…. Read More.
Issues
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Category Archives: Dual Eligibles
Over 100 Ask MMCO for Ombudsman in Duals Demonstration Projects
An impressive list of 103 organizations joined a sign-on letter that NSCLC and the National Committee to Preserve Social Security and Medicare drafted that urges the Medicare Medicaid Coordinated Office at the Centers for Medicare and Medicaid services to ensure … Continue reading
CMS Approves New York Transfer of Medicaid LTSS into Managed Care
On August 31, 2012, the Center for Medicare and Medicaid Services (CMS) agreed to amend both of its managed care demonstrations to include long-term services and supports (LTSS) on a mandatory basis. As part of the approval, CMS amended the … Continue reading
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Webinar – Dual Eligible Demonstrations: A Critical Moment
August 22, 2012 Webinar. Twenty-six states have submitted proposals to the Centers for Medicare and Medicaid Services (CMS) to integrate the delivery and financing of services for people that qualify for both Medicare and Medicaid (dual eligibles). CMS is in … Continue reading
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Assessing the Quality of California Dual Eligible Demonstration Health Plans
(May 2012) This report contains an analysis of the eight health plans selected by the California Department of Health Care Services and finds that seven of the eight received a global health plan rating of 1 (poor) out of five (excellent) … Continue reading
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NSCLC Launches New Website about Dual Eligible Demonstrations
The National Senior Citizens Law Center has launched a new website to provide aging and disability advocates the information and tools they need to ensure that models for delivering health and long term services and supports to dual eligibles (people … Continue reading
Prindiville Addresses Policy Forum on Consumer Protection for Duals
More than 150 health policymakers, Congressional staff and government officials heard NSCLC Deputy Director call for strong consumer protection for dual eligibles in new integrated models under development in many states. He was joined by MMCO Director Melanie Bella, and Paul … Continue reading
Comments: California’s Dual Eligibles Demonstration Project
(1/9/12) In a letter to the director of the California Department of Health Care Services, NSCLC Deputy Director writes that the proposed solutions fall short by simply expanding enrollment in existing medical-focused managed care systems. READ MORE
No Part D Copayments for Medicaid HCBS Duals
Effective January 1, 2012, full-benefit dual eligibles receiving Medicaid home and community based services (HCBS) have no Medicare Part D copayments READ MORE — Information for Advocates. CMS Memo on Part D Waiver for Dual Eligibles.
Dual Eligibles Fact Sheet
Who are dual eligibles? What are the challenges and recommendations needed to protect their rights as new integrated models are under consideration? Read the Fact Sheet.
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Prindiville Testified Before the California Joint Oversight Hearing of the Senate and Assembly Health Committees
(12/7/11) Deputy Director Kevin Prindiville testified before the California Joint Oversight Hearing of the Senate and Assembly Health Committees on Ensuring Consumer Protection of Dual Eligibles in Integrated Models. Listen to his testimony: [Audio clip: view full post to listen] Hearing … Continue reading
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