{"id":1969,"date":"2011-04-15T08:43:00","date_gmt":"2011-04-15T12:43:00","guid":{"rendered":"http:\/\/susansenator.com\/blog\/?p=1969"},"modified":"2011-04-15T08:43:54","modified_gmt":"2011-04-15T12:43:54","slug":"the-beauty-of-medicaid-under-obama-communities-rather-than-institutions","status":"publish","type":"post","link":"https:\/\/susansenator.com\/blog\/2011\/04\/the-beauty-of-medicaid-under-obama-communities-rather-than-institutions\/","title":{"rendered":"The Beauty of Medicaid Under Obama: Communities Rather Than Institutions"},"content":{"rendered":"<p>This article came my way via an advocate who receives regular updates from the White House.<\/p>\n<p>Next time someone suggests that we cut government spending on principal, tell them that you know of some specific government programs that do a world of good for the very needy.\u00a0 Medicaid is one such program, and Obama&#8217;s Affordable Healthcare Act (so viciously fought by the Tea Party) aims to improve Medicaid by making it more flexible and innovative,<strong> state by state.<br \/>\n<\/strong><\/p>\n<p><em>By the way, how do we pay?\u00a0 We end the Bush Tax Cuts for the rich, those who make more than $250,000 a year.\u00a0 That tiny percentage of Americans can afford to pay way more in taxes than they are doing, and that would help pay for all of the programs that help make America the greatest country in the world.<\/em><\/p>\n<p><strong>New flexibility for states to improve Medicaid and implement innovative practices: <\/strong><br \/>\n<strong>New rules will make Medicaid more flexible and efficient, helping states provide better care and lower costs<br \/>\n<\/strong><br \/>\nThe U.S. Department of Health and Human Services (HHS) today announced four initiatives to give states more flexibility to adopt innovative new practices and provide better, more coordinated care for people with Medicaid and Medicare while helping reduce costs for states and families.\u00a0 The initiatives support the Obama administration\u2019s work to make Medicaid more flexible and efficient and to address long-term cost growth.\u00a0 Several of the announcements also help implement provisions of the Affordable Care Act.\u00a0 Today HHS announced:<\/p>\n<ul>\n<li>Fifteen states will receive federal funding to develop better ways to coordinate care for people with Medicare and Medicaid coverage, also known as dual eligibles, who often have complex and costly health care needs.<\/li>\n<li>All states will receive increased flexibility to provide home and community-based services for more people living with disabilities.<\/li>\n<li>All states are eligible to receive more money to develop simpler and more efficient information technology (IT) systems to modernize Medicaid enrollment.<\/li>\n<li>A proposal by the state of New Jersey for flexibility to expand health coverage for nearly 70,000 low-income residents has been approved.<\/li>\n<li>\u201cMedicaid programs provide health coverage for millions of low-income Americans who otherwise would lack access to health care,\u201d said HHS Secretary Kathleen Sebelius.\u00a0 \u201cWith these new resources and flexibilities, states will have new options to make their Medicaid programs work better for the people they serve, while helping lower their costs.\u201d<\/li>\n<\/ul>\n<p><strong>Coordinated Care for People with Medicare and Medicaid<\/strong><\/p>\n<p>Under a new initiative funded by the<strong> Affordable Care Act<\/strong>, 15 states will receive up to $1 million each to develop new ways to meet the often complex and costly medical needs of the approximately nine million Americans who are eligible for both the Medicare and Medicaid programs, known as \u201cdual eligibles.\u201d\u00a0 The goal of the program is to <strong>eliminate duplication of services for these patients, expand access to needed care and improve the lives of dual eligibles, while lowering costs. <\/strong> [Who can argue with that??]\u00a0 The new Federal Coordinated Health Care Office, or the Duels Office, at the Centers for Medicare &amp; Medicaid Services (CMS), was created by the Affordable Care Act to improve care for dual eligibles and will work with the states to implement the top strategies to coordinate primary, acute, behavioral and long-term supports and services for dual eligibles, improving quality and lowering costs.<\/p>\n<p>The 15 states that will receive these funds are California, Colorado, Connecticut, Massachusetts, Michigan, Minnesota, New York, North Carolina, Oklahoma, Oregon, South Carolina, Tennessee, Vermont, Washington and Wisconsin.<\/p>\n<p>\u201cBeneficiaries who are in both Medicare and Medicaid can face different benefit plans, different rules for how to get those benefits and potential conflicts in care plans among providers who do not coordinate with each other,\u201d said Donald M. Berwick, M.D., administrator of CMS.\u00a0 \u201cThis can be disastrous for those beneficiaries who are most vulnerable and in need of help.\u201d<br \/>\n<strong><br \/>\nHelping People with Disabilities Live in their Communities<\/strong><\/p>\n<p>CMS proposed new rules today giving states new flexibility for their programs to help people with disabilities choose to live in their communities rather than in institutions.\u00a0 The proposed rules reduce administrative barriers for states seeking to help multiple populations, which may include seniors and\/or people with different types of disabilities.\u00a0 They will also allow individuals to participate in the design of their own array of services and supports, including such things as personal care and respite services for caregivers.<\/p>\n<p>\u201cThese long awaited rules will help people living with disabilities realize the promise of the ADA to live in the least restrictive environments possible for them\u2014like their own homes,\u201d said Henry Claypool, director of the Office on Disability at HHS.\u00a0 \u201cWith these new tools as well as incentives included in the Affordable Care Act, states, working closely with advocacy groups, beneficiaries, and other stakeholders, can more easily develop effective plans to improve options for people with disabilities.\u00a0 We hope states will take advantage of this new flexibility.\u201d<\/p>\n<p>The proposed rule, CMS-2296-P, can be found at www.ofr.gov\/inspection.aspx.<\/p>\n<p>Developing and Upgrading Medicaid IT Enrollment Systems<\/p>\n<p>New rules issued today will provide 90-percent of the cost for states to develop and upgrade their IT systems to help people enroll in Medicaid or the Children\u2019s Health Insurance Program (CHIP) \u2013 and<br \/>\n75-percent of ongoing operational costs.\u00a0 This increase over the previous federal matching rate of<br \/>\n50-percent will help states prepare for the Medicaid improvements and expansion that will come in 2014 from the Affordable Care Act, when many more Americans will be eligible for these programs, and to coordinate enrollment with the Exchanges.\u00a0 The rules establish performance standards for the improved eligibility systems to promote greater efficiency and a more consumer-friendly enrollment process.<\/p>\n<p>The final regulation, CMS-2346-F, can be found at www.ofr.gov\/inspection.aspx.<\/p>\n<p>Expanding Health Coverage in New Jersey<\/p>\n<p>HHS Secretary Kathleen Sebelius today approved a Section 1115 demonstration for New Jersey that will expand health coverage to nearly 70,000 uninsured, low-income people through the Work First New Jersey program.\u00a0 In addition, the state will increase care coordination to improve health outcomes for participants in the program.<\/p>\n<p>\u201cThis demonstration is yet another example of the many flexibilities states have to adapt their Medicaid programs to better serve their residents,\u201d said Secretary Sebelius.\u00a0 \u201cI want to commend New Jersey for expanding coverage to people in need.\u201d<\/p>\n<p>For more information about these announcements, visit www.cms.gov\/apps\/media\/fact_sheets.asp.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This article came my way via an advocate who receives regular updates from the White House. Next time someone suggests that we cut government spending on principal, tell them that you know of some specific government programs that do a world of good for the very needy.\u00a0 Medicaid is one such program, and Obama&#8217;s Affordable [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-1969","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pSTth-vL","jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/susansenator.com\/blog\/wp-json\/wp\/v2\/posts\/1969","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/susansenator.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/susansenator.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/susansenator.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/susansenator.com\/blog\/wp-json\/wp\/v2\/comments?post=1969"}],"version-history":[{"count":2,"href":"https:\/\/susansenator.com\/blog\/wp-json\/wp\/v2\/posts\/1969\/revisions"}],"predecessor-version":[{"id":1971,"href":"https:\/\/susansenator.com\/blog\/wp-json\/wp\/v2\/posts\/1969\/revisions\/1971"}],"wp:attachment":[{"href":"https:\/\/susansenator.com\/blog\/wp-json\/wp\/v2\/media?parent=1969"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/susansenator.com\/blog\/wp-json\/wp\/v2\/categories?post=1969"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/susansenator.com\/blog\/wp-json\/wp\/v2\/tags?post=1969"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}