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California Approved Poor Performing Health Plans for Dual Eligibles (5/2/2012) A special NSCLC report raises concern about the eight health plans the state has selected… Visit News Releases
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Elaine Clark began receiving Social Security Disability Insurance in 1996 when she was diagnosed with end-stage renal disease. In January of that year, retroactive to January 2005, the Social Security Administration unlawfully stopped paying her benefits based on an outstanding warrant.. READ MORE
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Category Archives: Dual Eligibles
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
Posted in Dual Eligibles, Reports
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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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Fact Sheet: Dual Eligibles
Read the fact sheet
Dual Eligible Sign On Letter to Super Committee
(11/14/11) NSCLC joined more than 50 consumer, provider, labor and other interest groups on a letter to the Congressional supercommittee urging them to carefully consider imposing a “one size fits all” on dual eligibles and cautioning them about imposing a … Continue reading
QMB Program Needs Fixes to Operate Effectively
(11/16/11) A new issue brief from NSCLC says that dual eligibles who qualify for the Qualified Medicare Beneficiary (QMB) program often go without needed care because they can’t find physician specialists, mental health professionals or other providers who are willing … Continue reading
