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Consumer Advocacy and Financial Alignment Demonstrations Health Action 2014 Krystal Knight New York State Policy Director
© 2013 Medicare Rights Center Medicare Rights Center The Medicare Rights Center is a national, not- for-profit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities through: Counseling and advocacy Educational programs Public policy initiatives
© 2013 Medicare Rights Center The Coalition Coalition to Protect the Rights of New York’s Dually Eligible (CPRNYDE) Made up of over 45 consumer advocacy organizations Steering Committee: Medicare Rights Center Empire Justice Center New York Legal Assistance Group Center for Independence of the Disabled, New York Legal Aid Society New York Association of Independent Living Community Service Society Consumer Directed Personal Assistance Association of New York State
© 2013 Medicare Rights Center Fully Integrated Dual Advantage (FIDA) 170,000 duals receiving 120 days or more of long term care in the community or SNF Capitated model Geographic area: New York City, Long Island, Westchester Phased enrollment: Voluntary beginning October 1st 2014, Passive beginning January 1 st 2015 MOU signed August 2014 Readiness Review began October 2014
© 2013 Medicare Rights Center Policy Priorities Core Areas of Focus Enrollment Network adequacy Plan payment and performance measures Stakeholder and beneficiary engagement Appeals and grievance procedures Monitoring and oversight Participant Ombudsman ADA compliance
© 2013 Medicare Rights Center Advocacy “WINS” Integrated Appeals Aid Continuing / Aid Paid Pending Readiness Review Interdisciplinary Team
© 2013 Medicare Rights Center Krystal Knight
Michigan’s Voices for Better Health Project ▪ RoAnne Chaney, Michigan Disability Rights Coalition ▪ Ayesha Ghazi, Michigan Consumers for Healthcare ▪ Alison.
Special Delivery: Getting Care to Vulnerable Populations Renée Markus Hodin Community Catalyst Families USA Health Action 2009 January 29, 2009 Washington,
Integrating Care for Individuals Eligible for Medicare and Medicaid Medicare-Medicaid Coordination Office Centers for Medicare & Medicaid Services June.
Medicaid Division of Medicaid and Long-Term Care Department of Health and Human Services Managed Long-Term Services and Supports.
VNS CHOICE: Managing Complex Care Needs for the Frail Elderly of New York City Roberta Brill Vice President, VNS Health Plans.
Consumer Assistance Programs: A Vital Piece of the Health Care Reform Puzzle Priya Mendon, Director, NYC Managed Care Consumer Assistance.
Long-Term Care: Exploring the Possibilities The Minnesota Experience : One Model for States to Improve Care, Align Incentives and Rationalize Spending.
PACE – Program of All-Inclusive Care for the Elderly: Innovation, Compassion and Value in Caring for Americas Dual Eligibles Shawn Bloom, President/CEO.
Overview of New York’s Health Home Model Tailoring New York’s Health Home Model for Children New York State Department of Health January 27, 2014.
The Value of Stakeholder Engagement for Integrated Care Alliance for Health Care Reform Briefing December 12, 2011 Suzanne S. Gore Director,
Aligning Incentives Between Medicare and Medicaid for Dual Eligibles February 2009 Pamela Parker Special Needs Purchasing Minnesota Department of Human.
Making a Difference Improving the Quality of Life of Individuals with Developmental Disabilities and their families.
Central Florida Behavioral Health Network “Achieving the dream envisioned in single management strategies.”
Families USA Health Action Conference, 2010 State Opportunities in Health Reform Sonya Schwartz Program Director National Academy for State Health Policy.
Introduction to Dual Eligible Integration National Senior Citizens Law Center and Families USA Webinar July 13, 2011.
Future Directions for Home & Community-Based Care Services Carol Raphael President & CEO, Visiting Nurse Service of New York Alliance for Health Reform.
Lynn A. Kovich, Assistant Commissioner Raquel Mazon Jeffers, Deputy Director March 27, 2012 The Comprehensive Waiver Application Overview & Health Care.
The LEAD Center is led by National Disability Institute and is funded by the Office of Disability Employment Policy, U.S. Department of Labor, Grant No.
THE NJ DEPARTMENT OF HUMAN SERVICES SEPTEMBER 2011 Comprehensive Waiver Application Overview.
New Project Directors Orientation Presentation 3 Volunteer & Station Management.
Understanding Regional BHO/ Managed Care Initiatives Harvey Rosenthal NYAPRS Annual Conference September 14, 2011.
Potential Impact of the Affordable Care Act on the Ryan White HIV/AIDS Program November 27, 2012 All Grantee Meeting Presentation: HIV/AIDS Bureau, HRSA.
STAKEHOLDER GROUP Center for Health Care Strategies and the NJ Department of Human Services Fr iday, January 20, 2012.
National Quality Strategy Overview August National Quality Strategy Introduction The Affordable Care Act (ACA) requires the Secretary of the Department.
The Make Medicare Work Coalition Governors Conference on Aging December 2009.
Health Reform: Key Changes Affecting Medicare Beneficiaries July 2010.
Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans Senate Finance Committee May 14,
Texas Department of Insurance 1 Health Care Reform Overview of Federal Health Insurance Reform Requirements and TDI Implementation Planning Presentation.
Health Reform and Medicare: Overview of Key Provisions Tricia Neuman Vice President and Director, Medicare Policy Project Kaiser Family Foundation For.
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