Consumer Directed Attendant Support Services. The Delivery Option for Long-Term Care for the 21 st Century
|
|
- Louisa Montgomery
- 8 years ago
- Views:
Transcription
1 Consumer Directed Attendant Support Services The Delivery Option for Long-Term Care for the 21 st Century
2 Why are we here CDASS is the CROWN JEWEL of long term care according to Director Sue Birch. (We agree) CDASS must be stabilized so that compliance with HB and other legislative requirements can be fulfilled. We believe as clients it is our responsibility to be part of the solution and are here to offer specific ways we can help.
3 What is CDASS CDASS is a service delivery option, currently available to some clients in the LTC system. In CDASS clients can hire, fire, schedule, and otherwise manage their personal care instead of using a provider agency. Client satisfaction and outcomes are outstanding. You have a handout showing how someone from each of your districts benefits from this program.
4 FACTS about CDASS It is a service delivery option, not a distinct service or waiver CDASS services more than 2000 clients and has created more than 6000 NEW jobs. Many CDASS employees have been able to get off of public benefits such as food stamps because they are paid a living wage because all funds go to services. CDASS is the ONLY option for clients who are very severely disabled, such as ventilator clients. There are no nursing facilities or home health agencies that take long term vent dependent clients
5 Facts about financing All money goes to services, not administration. Clients pay for all administrative overhead out of their allocation. Administrative overhead in this program is the cost paid to the fiscal agent. This covers payroll services, training of client, and also includes normal employee costs (unemployment, works compensation, FICA, SUTA, etc.) Clients currently pay 10.75% of their allocation and their budget must consider ALL employee related costs. When done properly, the allocation should be equal to the amount that would have been spent on a home health or personal care agency. Clients who qualify for private duty nursing or other nursing have much lower costs (even if the clients are expensive) because CDASS does not have a nursing rate.
6 Facts about Long Term Care Community based long term care is here to stay and will grow. If you live long enough, you will need it-and only the very wealthy can sustain private pay. Middle class Coloradoans will want this model as it fits with the Colorado culture of independence and self determination.
7 CDASS enables us to comply with federal requirements: The federal government (CMS) requires that the state have a care plan for each HCBS client. The state must be able to show that they provide all of the services on the care plan. The federal government also requires that services be sufficient in amount, duration and scope to reasonably achieve their purpose. The Olmstead decision requires services to be provided in the most integrated setting appropriate to the needs of the individual. This includes the ability to provide services in a manner that would enable clients to work, and take other positions of responsibility in the community. Because CDASS is not regulated by the Department of Health and is exempt from the Nurse Practice Act, CDASS enables the state to follow the law without having to do reasonable modifications of policy for numerous clients on a case by case basis, something that would be difficult to administer.
8 As leaders in the community with extensive knowledge about the client base we believe Clients on CDASS have better health outcomes like fewer pressure sores Clients on CDASS have almost no preventable hospitalizations Clients on CDASS are more independent in their daily lives and use fewer ancillary services Clients on CDASS rarely experience no shows and last minute call offs because the client is the employer Quality of care is superb and is frequently noted by physicians caring for this clientele
9 Goal We have been involved with this program since the beginning and have studied similar programs around the country. We understand HCPF is short staffed and suffers turnover. We are not blaming anyone. In the process of numerous program and division managers, the understanding of this program has been lost. We are here to make the JBC aware of concerns, and the need to protect and improve this program. This program is necessary not only as a lifeline for clients, but to keep us in compliance with federal requirements and to give people with disabilities the independence, self determination and control over our lives that we all believe is necessary. We are here to partner with you and the department to bring this program to it s full potential, which is to be the Gold Standard of responsible high quality long term care.
10 History CDASS began as a pilot and was vigorously studied at all phases of implementation. It was only made a permanent part of Medicaid after evaluations approved by CMS proved that it was both cost effective and high quality. It has been consistently supported by the General Assembly, as well as Democratic and Republican administrations.
11 Timeline 1996 Pilot authorized by legislature in 1996 SB Extended Pilot SB Program Operational 2003 First expansion, removed 150 client limit HB CDASS made permanent program AND service delivery option in all long term care programs HB CDASS mentioned as cost effective high quality program in Owens State of State 2007 (January) CDASS moves from pilot program to permanent program after studies show fiscal and quality excellence CDASS (December) identified as one of the three most effective HCPF programs by Ritter Administration at the JBC hearing 12/13/ Medicaid Buy In Authorized-States like CO that received a Medicaid Infrastructure Grant were required to have a consumer directed attendant program 2010 HB changed home care allowance program, had CDASS been operational in all waivers the problems you will hear about later would never have occurred.
12 Today s Situation Long term care is the most expensive part of Medicaid. The LTC clients are not going anywhere. People who require others to assist with basic everyday living skills will likely always need some level of Medicaid support. Overall LTC reform is imperative. The CDASS model is the answer for fiscally responsible high quality care for our most vulnerable citizen. Community First Choice Option is complementary to CDASS and would not replace it. If we go in that direction, and preliminary information suggests that we should, CDASS may help Colorado qualify for federal incentives. At each juncture when the program clients, employees and family members have had true partnership with HCPF the program has been efficient and effective. Every time those with the on the ground expertise and institutional knowledge (clients/family/employees) have not been equal and active partners problems have developed. (handout) Every time we have been involved we have been able to come up with cost effective solutions. We believe that these problems can be solved with proper intervention.
13 Rumor Versus Reality We need to make decisions based on real data. There are a lot of rumors about CDASS. For example, we heard there was out of control fraud. When we asked for data to help craft policy to fix the problem, we learned that out of more than 2000 clients the fiscal agent had 13 reports of fraud. At the time of this report (Summer 2011) no one had been convicted of fraud.
14 Data is imperative Decisions about this program should be evidence based using sound data Data is imperative for accountable decisions, but it is critical that people who understand the program can be partners with HCPF to set the parameters of data collection. Any data collected must be done using nationally recognized data collection methods.
15 Questions to Consider How to do we compare this to other programs without a control group? The highest need clients are not served elsewhere? Can we review medical outcomes and look at cost avoidance? If there are cost overruns what are the specifics? How does acute care fit into this program? How long does it take to make an allocation change? Is the current process of making clients micromanage the minutes driving costs, rather than containing costs?
16 Measurement of Cost Effectiveness For many clients it is easy the cost of CDASS is the same as it would be for a home health agency but the client has more freedom, is healthier, and is less dependent on other services. For the most disabled clients the difference is more dramatic. According to HCPF high cost clients on average have more hospitalizations, saw 4 more doctors and had 30 more prescriptions than other people. We are confident that the data will show that for high cost CDASS clients you will notice a lower hospitalization rate than people with similar or even less severe disabilities. While they may have more doctors due to requirements to see specialists, the visits will be less frequent.
17 Solution The fastest growing demographic are women over the age of 85 and this program needs to be able to serve the citizenry of Colorado. We need to solve the administrative problems so that it can be expanded, as it the only way to meet the capacity demand without building numerous new expensive programs. This model must be expanded not only in personal care but to all long term care waivers and services. The beauty of this model is there is no need for a huge capacity building project or more layers of bureaucracy. Quality control is natural. The program foundation must be solid, communication must be transparent and there must be accountability on all sides, including the clients. At different points in history there was a small policy work group that helped HCPF develop and implement workable solutions to address program issues. There is a correlation demonstrating that when this group is an actively engaged partner problems are solved or prevented.
18 We Request that the JBC Strongly Recommend Reinstitution of the Policy Committee Must be at least 60% clients/family members/employees and those representatives must be chosen by the community. Committee will develop and implement policy changes Committee will create parameters for data collection. Committee will include case managers. Committee will serve without compensation. If necessary CCDC will find resources to cover expenses of client participants. If committee cannot agree on any specific issue, the department will present a minority report written by the dissenting parties to the JBC.
19 History is great teacher This model worked well during original implementation. This model was in place throughout the pilot when by all accounts everything ran smoothly and savings were achieved. This model helped the state solve problems during a fiscal agent transition. This model developed rule changes and policies that worked well. The only problem points occurred during implementation, and this model was NOT used for the implementation.
20 Follow Up We are confident that HCPF will accept our offer of partnership and ask for the JBC to give a vote of confidence or otherwise endorse this idea. We propose that we report back in 90 days with a work plan and timeline. We will provide a memo outlining progress at day 45 with HCPF. The following questions will be addressed in the report:
21 First 90 days What data needs to be collected, how and from whom? What barriers, if any, exist to collection of said data? When can data be collected? What policies, if any, need to be modified? Prioritize policy modification with most to least urgent. Prioritize data collection tasks. Timeline for making said modifications to include rule promulgation process if necessary.
22 Any questions this panel and the disability community remain available as a resource for this and any other disability related issues Thank you for your time and attention
Under the ACA what income is counted and what are the exemptions or disregards to income?
Participant Directed Programs Policy Collaborative Follow-up notes from the June 26, 2013, meeting During the June PDPPC meeting there were several questions asked by stakeholders to the Department that
More informationSOONERCARE MANAGED CARE HISTORY AND PERFORMANCE 1115 Waiver Evaluation
SOONERCARE MANAGED CARE HISTORY AND PERFORMANCE 1115 Waiver Evaluation James Verdier Margaret Colby Mathematica Policy Research, Inc. Presentation to Oklahoma Health Care Authority Board Oklahoma City,
More informationGood to Know ColoradoCare Name Change: ColoradoCare would provide access to health care
1 Good to Know ColoradoCare Colorado Health Care Cooperative Name Change: The proposal has been renamed ColoradoCare because it is shorter. It s also less likely to be confused with CoHealthOp, the Colorado
More informationExpanding Self Direction in Ohio s Medicaid HCBS Programs
Expanding Self Direction in Ohio s Medicaid HCBS Programs The Executive Budget as introduced (HB 64) increases access to Medicaid home and community based services (HCBS), and creates new opportunities
More informationDEPARTMENT OF HUMAN SERVICES
DEPARTMENT OF HUMAN SERVICES TO: Joint Budget Committee Members FROM: Robin J. Smart, Joint Budget Committee Staff, 303-866-4955 SUBJECT: Staff Comebacks, Department of Human Services, Division of Child
More informationHealth Reform and the AAP: What the New Law Means for Children and Pediatricians
Health Reform and the AAP: What the New Law Means for Children and Pediatricians Throughout the health reform process, the American Academy of Pediatrics has focused on three fundamental priorities for
More informationComparative Review of Workers' Compensation Systems in Select Jurisdictions
of Workers' Compensation Systems in Select Jurisdictions JURISDICTION: WASHINGTON ENVIRONMENT Population Size 5.5 million in 1996. Labor Force 2.8 million in 1996. Demographic and Economic Indicators The
More informationImplementation. Attached:
From: Katie Mason, MPP, Research Analyst II, NCSL Health Program Date: August 4, 2010 Health Provider and Industry State Fees and Taxes A Colorado Story Colorado Medicaid Background Colorado s Medicaid
More informationStrengthening Community Health Centers. Provides funds to build new and expand existing community health centers. Effective Fiscal Year 2011.
Implementation Timeline Reflecting the Affordable Care Act 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access
More informationWhat is a state health insurance exchange (i.e. "American Health Benefit Exchange")?
MEMORANDUM DATE: 11/07/2011 TO: Members of the House Appropriation Subcommittee for LARA FROM: Paul Holland, Fiscal Analyst RE: State Health Insurance Exchanges In response to the requirements pertaining
More informationNurse Leaders in Native Care Conference. Indian Health Reform
Indian Health Service Nurse Leaders in Native Care Conference July 20, 2010 Indian Health Reform by Yvette Roubideaux, M.D., M.P.H. Director, Indian Health Service Good morning. It is great to be here
More informationSupreme Court upholds the Affordable Care Act in its entirety:
Supreme Court upholds the Affordable Care Act in its entirety: What does this mean for Seniors? The Supreme Court s decision to uphold the Affordable Care Act (ACA) in its entirety is a huge victory for
More information(128th General Assembly) (Substitute House Bill Number 198) AN ACT
(128th General Assembly) (Substitute House Bill Number 198) AN ACT To amend sections 3923.91 and 5111.242 and to enact sections 185.01 to 185.12, 3333.611, and 3333.612 of the Revised Code, to amend Section
More informationGROUP MEDICARE. supplement plans
2016 GROUP MEDICARE supplement plans Create a Healthier Organization Your employees are your organization s most valuable asset. As they retire, you want to show your commitment to them and manage health
More informationThe Large Business Guide to Health Care Law
The Large Business Guide to Health Care Law How the new changes in health care law will affect you and your employees Table of contents Introduction 3 Part I: A general overview of the health care law
More informationAdditional CCSD Dual Credit Class List. CEM 100 Construction Management (Credits); 3 AIT 200 Applied Industrial Technology Projects (Credits); 1-6
Additional CCSD Dual Credit Class List CEM 100 Construction Management (Credits); 3 AIT 200 Applied Industrial Technology Projects (Credits); 1-6 FY16 (School Year 15-16) Tentative Budget Carson City School
More informationState Medicaid Program - Changes in 2012
BRIEF #1 I DECEMBER 2011 Looking Ahead to 2012, What Changes Are In Store for Florida's Medicaid Program? Florida s Experience with Floridians may see significant changes in the state s Medicaid program
More informationAging and Disability Services Pressures and Priorities. Ricker Hamilton Deputy Commissioner of Programs June 12, 2015
Aging and Disability Services Pressures and Priorities Ricker Hamilton Deputy Commissioner of Programs June 12, 2015 The content of this presentation does not relate to any product of a commercial interest.
More informationHR-676 (also known as single-payer)
HR-676 (also known as single-payer) If HR-676 were to become law, Steamfitters Local 475 would most likely pay substantially less money for our welfare coverage. We are currently paying $9.73 per hour.
More informationRules and Regulations: A primer on formal rulemaking processes and procedures in Colorado
Rules and Regulations: A primer on formal rulemaking processes and procedures in Colorado October 2012 George Lyford Page 1 of 9 Rulemaking the formal process of passing, or promulgating regulations is
More informationNO. 160. AN ACT RELATING TO THE COORDINATION, FINANCING AND DISTRIBUTION OF LONG-TERM CARE SERVICES. (H.782)
NO. 160. AN ACT RELATING TO THE COORDINATION, FINANCING AND DISTRIBUTION OF LONG-TERM CARE SERVICES. (H.782) It is hereby enacted by the General Assembly of the State of Vermont: Sec. 1. DEFINITIONS For
More informationPEOs Behind the Fluff, Are They Viable Options in Today s Benefit World?
PEOs Behind the Fluff, Are They Viable Options in Today s Benefit World? PEO an acronym that can strike fear and anxiety into an insurance broker s inner core may turn out to be one of history s more adaptable
More informationMaryland's Wal-Mart Tax Likely to Hurt Wal-Mart's Workers
March 9, 2006 Maryland's Wal-Mart Tax Likely to Hurt Wal-Mart's Workers by Chris Atkins and Joseph Henchman I. Introduction In January, 2006, the Maryland General Assembly voted to override Governor Ehrlich
More informationOHIO CONSUMERS FOR HEALTH COVERAGE POLICY PRIORITIES FY 2012-13. Medicaid Make Improvements to Improve Care and Lower Costs
OHIO CONSUMERS FOR HEALTH COVERAGE POLICY PRIORITIES FY 2012-13 Ohio Consumers for Health Coverage supports robust implementation of the Patient Protection and Affordable Care Act (ACA) in Ohio, making
More informationINDIGENT CARE PROGRAMS IN SELECTED STATES WITHOUT COPN PROGRAMS Arizona
INDIGENT CARE PROGRAMS IN SELECTED STATES WITHOUT COPN PROGRAMS Arizona The Arizona Health Care Cost Containment System (AHCCCS) is a comprehensive, statewide managed care program which combines state
More informationOhio s Care Coordination Program A Proven Opportunity for a new way in Ohio s Medicaid Program
Ohio s Care Coordination Program A Proven Opportunity for a new way in Ohio s Medicaid Program Ohio s Status Quo: The economy and reliance on one time funding has led to an $8 billion shortfall State expenditures
More information107 Health Care Authority. PL Policy Level
Recommendation Summary Text The Health Care Authority (HCA) requests $1,096,000 total funds ($521,000 General Fund State) and 2.0 FTEs in FY15 to fund an Actuary Office to improve financial analytics and
More informationOffice of Health Care Ombudsman, statutory duties
Office of Health Care Ombudsman, statutory duties Enabling statute, 8 V.S.A. 4089w (a) The department shall establish the office of the health care ombudsman by contract with any nonprofit organization.
More informationComparative Review of Workers Compensation Systems in Select Jurisdictions SASKATCHEWAN
of Workers Compensation Systems in Select Jurisdictions JURISDICTION: SASKATCHEWAN ENVIRONMENT Population Size Labour Force Demographic and Economic Indicators 1,015,600 (1995, Stats Canada) 494,000 (1995,
More informationHOME & COMMUNITY BASED SERVICES AND THE MEDICAID WAIVERS IN CONNECTICUT
HOME & COMMUNITY BASED SERVICES AND THE MEDICAID WAIVERS IN CONNECTICUT Presented by: Christina Crain, Director of Programs, SWCAA In Partnership with The Aging & Disability Resource Center Collaborative
More informationDrug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute.
Proposition 46 Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute. Yes/No Statement A YES vote on this measure means: The cap on medical malpractice damages for such things
More informationNew Hampshire Department of Health and Human Services. Medicaid Care Management Program Step 2 Design Concept
New Hampshire Department of Health and Human Services Medicaid Care Management Program Step 2 Design Concept Redesign of New Hampshire s Long Term Services and Supports Delivery System: A Concept Paper
More informationTimeline for Developing a Managed Long Term Services and Supports (MLTSS) Program
Timeline for Developing a Managed Long Term Services and Supports (MLTSS) Program May 2013 Prepared by Truven Health Analytics for the Centers for Medicare & Medicaid Services (CMS), Disabled and Elderly
More informationSTUDENT ASSESSMENT AND SCHOOL ACCOUNTABILITY IN UTAH
Education Policy Brief August 2012 STUDENT ASSESSMENT AND SCHOOL ACCOUNTABILITY IN UTAH Utah Legislature Office of Legislative Research and General Counsel HIGHLIGHTS The purpose of the Utah Performance
More informationRECENT STATE INITIATIVES IN REBALANCING LONG-TERM CARE
A Guide to Long-Term Care for State Policy Makers RECENT STATE INITIATIVES IN REBALANCING LONG-TERM CARE Reaching a more equitable balance between the proportion of total Medicaid long-term support expenditures
More informationIdaho Division of Vocational Rehabilitation
Idaho Division of Vocational Rehabilitation 2015-2019 Content and Format The Plan is divided into four sections. The first three sections describe the programs administered under the Idaho Division of
More informationThe Truth About Issue 2
The Truth About Issue 2 What will Issue 2 actually do? The Big Business coalition which supports Issue 2 has the money to air a slick ad campaign. The Big Business Campaign is founded on the belief that
More informationMYTHS ABOUT SINGLE PAYER COMING TO VERMONT. For information on myths about single payer in general, please click here.
MYTHS ABOUT SINGLE PAYER COMING TO VERMONT For information on myths about single payer in general, please click here. MYTH 1: Physicians will leave the state if we enact single payer. This is the claim
More informationOverview of the Current Problems in the Long-Term Care System
Introduction In May of 2005, the CMS Administrator formed the Policy Council to serve as a vehicle for the Agency s senior leadership to develop strategic policy directions and initiatives to improve our
More informationFrequently Asked Questions About Georgia Workers Compensation Ty Wilson Attorney At Law 1-866-937-5454 www.tywilsonlaw.
Frequently Asked Questions About Georgia Workers Compensation Ty Wilson Attorney At Law 1-866-937-5454 www.tywilsonlaw.com Special Report Frequently Asked Questions About Claims Special Report Ty Wilson
More informationHow To Understand Why The Health Care Act Matters
Why the Affordable Care Act Matters Mindy Owen RN, CRRN, CCM Phoenix HealthCare Assoc. LLC Coral Springs Florida Objectives The participant will be able to define the relationship between the ACA and the
More informationPage 1 of 12. Subject As passed by Senate As passed by House Legislative intent; findings; purpose
Page 1 of 12 Side-by-side comparison of S.252, An act relating to financing for Green Mountain Care, as passed by House and Senate Prepared by Jennifer Carbee, Legislative Counsel, Office of Legislative
More informationPUBLIC SCHOOL EMPLOYEE HEALTH INSURANCE FAQ
PUBLIC SCHOOL EMPLOYEE HEALTH INSURANCE FAQ Who is eligible for public school health insurance in Arkansas? According to the ARBenefits 2014 Summary Plan Description, school employees are eligible to buy
More informationSustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation
Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation Proposal 113 th Congress - - H.R.4015/S.2000 114 th Congress - - H.R.1470 SGR Repeal and Annual Updates General
More informationSUBSTANCE ABUSE SCREENING/TESTING S.B. 275 & H.B. 4118: SUMMARY AS ENROLLED
SUBSTANCE ABUSE SCREENING/TESTING S.B. 275 & H.B. 4118: SUMMARY AS ENROLLED Senate Bill 275 (as enrolled) House Bill 4118 (as enrolled) Sponsor: Senator Joe Hune (S.B. 275) Representative Jeff Farrington
More informationPresented to: Long Term Care Workgroup May 26, 2011
Presented to: Long Term Care Workgroup May 26, 2011 Partners in the Grant SC Department of Health and Human Services Sam Waldrep Roy Smith Project Coordinator Office of Research and Statistics Institute
More informationThe Alliance Roundtable with U.S. Rep. Tammy Baldwin An Insider s View of Congressional Efforts to Reform Health Care
The Alliance Roundtable with U.S. Rep. Tammy Baldwin An Insider s View of Congressional Efforts to Reform Health Care The Alliance hosted a roundtable discussion on November 13 with U.S. Rep. Tammy Baldwin,
More informationA Guide for Legislators
Medicaid Reform for People with Disabilities A Guide for Legislators Missouri Planning Council for Developmental Disabilities P.O. Box 687 Jefferson City, Missouri 65102 573-751-8611 800-500-7878 www.mpcdd.com
More informationTHE HEALTHY ALASKA PLAN Medicaid expansion Saves Alaska money. Saves Alaska lives. healthy for Alaskans; healthy for the economy; healthy for the state s budget; a catalyst for reform. Medicaid expansion
More informationJune 4, 2015. Email Transmitted to Jackie.glaze@cms.hhs.gov RE: NC SPA 14-039. Dear Ms. Glaze:
Ms. Jackie Glaze Centers for Medicare and Medicaid Services Region IV Atlanta Federal Center 61 Forsyth Street, SW Suite 4T20 Atlanta, GA 30303-8909 Email Transmitted to Jackie.glaze@cms.hhs.gov RE: NC
More informationThe Medicaid EHR Incentive Program: Overview, Program Integrity & Compliance
Medicaid EHR Incentive Program The Medicaid EHR Incentive Program: Overview, Program Integrity & Compliance Martin Thies, PhD, CIA Health IT Program Integrity Manager Medicaid Purchasing Administration
More informationDrug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute.
osition Official Title and Summary Prepared by the Attorney General Requires drug and alcohol testing of doctors and reporting of positive test to the California Medical Board. Requires Board to suspend
More informationColorado has been one of the nation s leaders in ensuring
Health Reform: New Opportunities For Colorado To Invest in Home- and Community-Based Services Colorado has been one of the nation s leaders in ensuring that seniors and people with disabilities are able
More informationPrograms. Summary of State Programs and Laws Highlighted in Faces of Maryland s Newly Insured. Medical Assistance for Families (SB 6)
Programs Summary of State Programs and Laws Highlighted in Faces of Maryland s Newly Insured Medical Assistance for Families (SB 6) Medical Assistance for Families provides full health care insurance to
More informationHealth reform gives New Hampshire new opportunities to provide
Health Reform: New Opportunities For New Hampshire To Invest in Home- and Community-Based Services Health reform gives New Hampshire new opportunities to provide home- and community-based services (HCBS)
More informationHEALTH INSURANCE MARKETPLACE SURVIVAL GUIDE FOR SMALL BUSINESS. Vermont Edition
HEALTH INSURANCE MARKETPLACE SURVIVAL GUIDE FOR SMALL BUSINESS Vermont Edition NAVIGATING NEXT STEPS IN HEALTH CARE REFORM There s a constant stream of changes and updates related to health care reform,
More informationHealth Care Reform Pros and Cons
Comparison of Health Care Reform Proposals Individuals Covered Every Californian will have improved access with more healthcare options and services that are more affordable and costefficient. Reallocates
More informationSTUDY OF STATE CONTRIBUTIONS TO STATE EMPLOYEE HEALTH INSURANCE PREMIUMS - BACKGROUND MEMORANDUM
17.9025.01000 Prepared for the Government Finance Committee STUDY OF STATE CONTRIBUTIONS TO STATE EMPLOYEE HEALTH INSURANCE PREMIUMS - BACKGROUND MEMORANDUM STUDY RESPONSIBILITIES House Concurrent Resolution
More informationOFFICE OF LEGISLATIVE SERVICES ANALYSIS OF THE NEW JERSEY BUDGET FISCAL YEAR 2011-2012 BUDGET QUESTIONS FOR ALL DEPARTMENTS AND UNITS
OFFICE OF LEGISLATIVE SERVICES ANALYSIS OF THE NEW JERSEY BUDGET FISCAL YEAR 2011-2012 BUDGET QUESTIONS FOR ALL DEPARTMENTS AND UNITS 1. The FY 2011 budget required all departments to cope with reduced
More informationTASA Summary of House Interim Charges Related to Public Education 84th Legislative Session November 2015
TASA Summary of House Interim Charges Related to Public Education 84th Legislative Session November 2015 House Public Education Committee Examine the effectiveness and efficiency of the Cost of Education
More informationHealth reform gives Nebraska new opportunities to provide homeand
Health Reform: New Opportunities For Nebraska To Invest in Home- and Community-Based Services Health reform gives Nebraska new opportunities to provide homeand community-based services (HCBS) through Medicaid,
More informationA Guide for Powers of Attorney
A Guide for Powers of Attorney NSW Trustee & Guardian can prepare a Power of Attorney to ensure your financial affairs are professionally managed. Contents Powers of Attorney: Your questions answered 3
More informationN U R S E S F O R H E A LT H I N S U R A N C E R E F O R M. Stability and Security For All Americans
N U R S E S F O R H E A LT H I N S U R A N C E R E F O R M Stability and Security For All Americans Health Insurance Reform Action Guide Summer 2009 N U R S E S F O R H E A LT H I N S U R A N C E R E F
More informationHealth reform gives Massachusetts new opportunities to provide
Health Reform: New Opportunities For Massachusetts To Invest in Home- and Community-Based Services Health reform gives Massachusetts new opportunities to provide home- and community-based services (HCBS)
More informationF I S C A L I M P A C T R E P O R T
NOTE: As provided in LFC policy, this report is intended for use by the standing finance committees of the legislature. The Legislative Finance Committee does not assume responsibility for the accuracy
More informationInsurance. Declination and Exemption Forms
Insurance Declination and Exemption Forms Insurance Declination Forms 25 Count of forms submitted to CDHS 20 15 10 5 17 16 21 19 0 FY 2009-10 FY 2010-11 FY 2011-12 FY 2012-13 Fiscal Year Source: Insurance
More informationTestimony Supporting:
33 Whitney Ave Voice: 203-498-4240 New Haven, CT 06510 Fax: 203-498-4242 www.ctkidslink.org Testimony Supporting: S.B. 3, An Act Concerning Increased Access to Health Care Through the HUSKY Program S.B.
More informationPatient Protection and Affordable Care Act [PL 111-148] with Amendments from 2010 Reconciliation Act [PL 111-152] Direct-Care Workforce
DIRECT-CARE WORKFORCE AND LONG-TERM CARE PROVISIONS AS ENACTED IN PATIENT PROTECTION AND AFFORDABLE CARE ACT AND HEALTH CARE AND EDUCATION RECONCILIATION ACT OF 2010 Key Provisions Direct-Care Workforce
More informationMaine is among the states that have made the most
Health Reform: New Opportunities For Maine To Invest in Home- and Community-Based Services Maine is among the states that have made the most progress in ensuring that seniors and people with disabilities
More informationREPORT California Small Business Healthcare Survey
REPORT California Small Business Healthcare Survey August 23, 2007 Small Business for Affordable Healthcare 3030 Bridgeway, Suite 132 Sausalito, CA 94965 (866) 587-7431 www.smallbusinessforhealthcare.org
More informationBrain Injury Association of New Jersey
Brain Injury Association of New Jersey 825 Georges Road, 2nd Floor North Brunswick, NJ 08902 Phone: 732-745-0200 Helpline: 1-800-669-4323 Website: www.bianj.org E-mail: info@bianj.org SOURCES OF FUNDING
More informationPerformance Appraisal Process for the CEO 1
www.simonejoyaux.com Simone P. Joyaux, ACFRE Performance Appraisal Process for the CEO 1 Note: This process and appraisal tool along with Joyaux CEO job description applies, in general to any organization.
More informationCHAPTER 7. (Senate Bill 6) Working Families and Small Business Health Coverage Act
CHAPTER 7 (Senate Bill 6) AN ACT concerning Working Families and Small Business Health Coverage Act FOR the purpose of establishing a Small Employer Health Insurance Benefit Plan Premium Subsidy Program;
More informationSUMMARY OF THE CONFERENCE COMMITTEE REPORT ON PUBLIC EMPLOYEE PENSIONS
SUMMARY OF THE CONFERENCE COMMITTEE REPORT ON PUBLIC EMPLOYEE PENSIONS SUMMARY: Implements comprehensive public employee pension reform through enactment of the California Public Employees' Pension Reform
More informationSection 1115 Demonstrations: FL Medicaid Reform
Section 1115 Demonstrations: FL Medicaid Reform Public Comments Title Description Created At Patients in jeopardy of being denied access to Nurse Practitioner care Patient Access to Nurse Practitioners
More informationTop 3 Reasons Your PEO Might Not Be a Good Fit For You. Helping our clients lower their cost of labor.
Top 3 Reasons Your PEO Might Not Be a Good Fit For You Helping our clients lower their cost of labor. Table of Contents Introduction 3 You Don t Understand Who They Are 4 (What is a PEO s Real Role?) They
More informationHow To Work With An Aso
A Complete Guide to Working With An ASO Table of Contents Introduction 3 Big Picture Overview 4 No Co-Employment 5 Customized Employee Benefits 7 Lowest Cost Comprehensive Model 8 100% Transparent and
More informationMassachusetts Health Care Reform and Cancer Care. Therese Mulvey, MD Southcoast Centers for Cancer Care February 2010
Massachusetts Health Care Reform and Cancer Care Therese Mulvey, MD Southcoast Centers for Cancer Care February 2010 Southcoast Health System in Massachusetts Southcoast Primary and Secondary Markets An
More informationAn Act To Protect Consumers and Small Business Owners from Rising Health Care Costs Be it enacted by the People of the State of Maine as follows:
PLEASE NOTE: Legislative Information cannot perform research, provide legal advice, or interpret Maine law. For legal assistance, please contact a qualified attorney. An Act To Protect Consumers and Small
More informationTOBACCO CESSATION PILOT PROGRAM. Report to the Texas Legislature
TOBACCO CESSATION PILOT PROGRAM Report to the Texas Legislature As Required by S.B. 10, 80 th Legislature, Regular Session, 2007 Texas Health and Human Services Commission September 2010 Table of Contents
More informationF I S C A L I M P A C T R E P O R T
Fiscal impact reports (FIRs) are prepared by the Legislative Finance Committee (LFC) for standing finance committees of the NM Legislature. The LFC does not assume responsibility for the accuracy of these
More informationINDUSTRY PERSPECTIVES. Knowing your demographic: Exploring the utilization of locums physicians to expand business
INDUSTRY PERSPECTIVES Knowing your demographic: Exploring the utilization of locums physicians to expand business Justin Roark, Recruiting Principal, Delta Locum Tenens the Offering services appropriate
More informationArizona State Senate Issue Paper June 22, 2010 MEDICAL MALPRACTICE. Statute of Limitations. Note to Reader: INTRODUCTION
Arizona State Senate Issue Paper June 22, 2010 Note to Reader: The Senate Research Staff provides nonpartisan, objective legislative research, policy analysis and related assistance to the members of the
More informationAffordable Care Act Opportunities for the Aging Network
Affordable Care Act Opportunities for the Aging Network The Affordable Care Act (ACA) offers many opportunities for the Aging Network to be full partners in health system reform. These include demonstration
More informationCONTINUING CARE ADMINISTRATION 2011 2015 Strategic Plan. M innesota Department of Human Services
CONTINUING CARE ADMINISTRATION 2011 2015 Strategic Plan M innesota Department of Human Services Vision We see a Minnesota where people have choices in how they receive services and how they live their
More informationClinically Integrated Networks and Accountable Care Organizations
Clinically Integrated Networks and Accountable Care Organizations 1 Do Nothing 2 Become Someone s Employee 3 Join a Network Provider The wake up call is for POPULATION health management managing clinical
More informationTechnical Assistance to Support Evidence-Based Policymaking: A Conversation With the Regional Comprehensive Centers
Technical Assistance to Support Evidence-Based Policymaking: A Conversation With the Regional Comprehensive Centers Facilitated By Betheny Gross November 2015 2015 Edvance Research, Inc. 53 the SEA of
More informationCalifornia Economic Development Initiative
California Economic Development Initiative New Tools for A New Economy An informational briefing from The Governor s Office of Business and Economic Development New California incentives: AB93 & SB90 reshape
More informationHow To Get Health Care Reform For The United States
Federal Health Care Reform: Implications for New York Division of Coverage and Enrollment Office of Health Insurance Programs Health Bureau Insurance Department June 2010 Federal Health Care Reform: Where
More informationFREQUENTLY ASKED QUESTIONS REGARDING THE NEW INDIVIDUAL SUPPORTED EMPLOYMENT (ISE) RATE STRUCTURE AND OTHER NEW EMPLOYMENT INCENTIVES
FREQUENTLY ASKED QUESTIONS REGARDING THE NEW INDIVIDUAL SUPPORTED EMPLOYMENT (ISE) RATE STRUCTURE AND OTHER NEW EMPLOYMENT INCENTIVES GENERAL QUESTIONS What is the Employment First Initiative? In order
More informationCenter for Medicare and Medicaid Innovation
Center for Medicare and Medicaid Innovation Summary: Establishes within the Centers for Medicare and Medicaid Services (CMS) a Center for Medicare & Medicaid Innovation (CMI). The purpose of the Center
More informationMaryland Medicaid Program
Maryland Medicaid Program Maryland s Pharmacy Discount Waiver Tuesday, November 19, 2002 Debbie I. Chang Deputy Secretary for Health Care Financing Maryland Department of Health and Mental Hygiene Overview
More informationPRESCRIPTION FOR EMPOWERMENT. We The People
PRESCRIPTION FOR EMPOWERMENT We The People " It is time for a change, and as president, I will make it a priority to immediately repeal and replace Obamacare. My pledge is to return American health care
More informationThe Campaign for Children s Health
The Campaign for Children s Health Case Statement 2010-2011 www.napachi.org One Uninsured Child is One Too Many. About CHI The Children s Health Initiative Napa County (CHI) is a nonprofit organization
More information07 LC 28 3450ERS A BILL TO BE ENTITLED AN ACT
0 LC 0ERS The Senate Health and Human Services Committee offered the following substitute to SB 0: A BILL TO BE ENTITLED AN ACT To amend Title of the Official Code of Georgia Annotated, relating to health,
More informationU.S. Department of Health and Human Services. Centers for Medicare & Medicaid Services Region VIII FINAL REPORT
U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services Region VIII FINAL REPORT Montana EPSDT Review Report Dental Services April 1 3, 2008 Executive Summary The Early and
More informationCourt of Claims. House Transportation and Justice Subcommittee. Jamie L. Doskocil, Senior Budget Analyst Legislative Service Commission
Court of Claims House Transportation and Justice Subcommittee Jamie L. Doskocil, Senior Budget Analyst Legislative Service Commission March 29, 2007 Additional copies are available on our web site at www.lsc.state.oh.us
More informationHow To Improve Your Revenue From A Medical Billing Service
WHY OUTSOURCE YOUR MEDICAL BILLING? What Are There Real & Tangible Benefits? Why outsourcing your medical billing can bring you peace of mind and increased prosperity? A sk any healthcare provider practicing
More informationCOLORADO REVISED STATUTES
COLORADO REVISED STATUTES *** This document reflects changes current through all laws passed at the First Regular Session of the Sixty-Ninth General Assembly of the State of Colorado (2013) *** TITLE 25.
More informationCONFERENCE COMMITTEE REPORT BRIEF HOUSE BILL NO. 2064. HB 2064 would make several amendments to the Insurance Code to:
SESSION OF 2015 CONFERENCE COMMITTEE REPORT BRIEF HOUSE BILL NO. 2064 As Agreed to March 31, 2015 Brief* HB 2064 would make several amendments to the Insurance Code to: Add insurance against the cost of
More information