NSCLC champions consumer protection for those who have both Medicare and Medicaid (dual eligibles) as several states finalize and implement demonstration plans to move many duals eligible individuals into private managed care plans.
Dual eligibles as a group have higher health needs and lower incomes than other Medicare beneficiaries. They are also more likely to need long term services and supports. Historically, there has been a lack of coordinated care for dual eligibles and the health reform law encouraged state demonstrations to address the problem.
A separate NSCLC website provides 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 include strong consumer protections. The site houses NSCLC reports, summaries, and comments on state proposals and plans as well as state profiles and federal guidance.
Recent NSCLC activity is highlighted below. Also, NSCLC is educating California advocates in 2013 on that state’s Memorandum of Understanding with the Centers for Medicare and Medicaid Services. Check Events often for related webinars throughout the year.
- California Advocates Call for Delay in CCI Implementation
In a letter to the California Department of Health Care Services and the Center for Medicare and Medicaid Services, NSCLC and five other advocacy organizations call for the suspension of implementation of the Coordinated Care Initiative (the state's du...
- WEBINAR: Dual Eligible Demonstrations – An Update for Advocates
Free Webinar - March 04, 2014
It was a busy first quarter for Dual Eligible Demonstration Projects at the state and federal level. As timelines shift and contracts are signed, keeping up-to-date on pressing advocacy issues that impact the rights of be...
- WEBINAR: The California Coordinated Care Initiative: Advanced Training Consumer Protections and Benefit Package Summary
Free Webinar Series
The California Coordinated Care Initiative: Advanced Training
Consumer Protections and Benefit Package Summary
California is moving forward with the Coordinated Care Initiative (CCI), including the federally-approved dual eligib...
- WEBINAR: Cal-MediConnect – A Summary of the Three-Way Contract
Cal- MediConnect - A Summary of the Three-Way Contract
Last week, the Centers for Medicare and Medicaid Services (CMS) released the template of the three-way-contract CMS entered into with the Department of Health Care Services and the ...
- Advocates Recommend Ways to Measure Rebalancing In Managed LTSS and Dual Eligible Demonstrations
Consumers, providers, regulators and policymakers generally agree that rebalancing long-term services and supports (LTSS) system towards greater use of home and community-based services versus institutional care is a shared goal as states shift to the ...
- Dual Eligible Beneficiaries Fact Sheet 2013 – Who are Dual Eligibles?
Dual eligibles are the 10.2 million people that qualify for both Medicaid and Medicare, including 7.4 million full benefit enrollees and 2.7 million who receive assistance with Medicare cost-sharing only.
View the entire content here
- Dual Eligible Demonstrations Policy Issue Brief 2013 – Focusing on the Individual
The Affordable Care Act authorized the creation of demonstration programs that seek to integrate the financing of and delivery of care to dual eligibles. The Medicare Medicaid Coordination Office (MMCO) within the Centers for Medicare and Medicaid Serv...
- WEBINAR: Dual Eligible Demonstrations – What Can Other States Learn from NY, VA and SC?
FREE WEBINAR - DEC. 17, 2013
In the second half of the year, New York, Virginia and South Carolina received approval from the Centers for Medicare and Medicaid Services for their state's dual eligible demonstration.
The Memorandum of Understandin...
- WEBINAR: The California Coordinated Care Initiative: Advanced I Training – Consumer Protections and Benefit Package Summary
FREE WEBINAR - DEC. 04, 2013
California is moving forward with the Coordinated Care Initiative (CCI), including the federally-approved dual eligible demonstration known as Cal MediConnect. The CCI is now expected to start no sooner than April 1, 201...
- Mass. Dual Eligible Contract Analysis Provides Consumer Protection Advice
As states seek to move thousands of elderly and persons with disabilities with both Medicare and Medicaid (dual eligibles) into private managed care plans, advocates need information on how to address important consumer protections. A new NSCLC analysi...