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NAHC Report: Issue# 2459, 6/27/2014
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AARP Public Policy Institute Innovation Roundtable Explores Language Access in Managed Long-Term Services and Supports
Olmstead at 15: The Legacy of a Landmark Case
For Your Information: Open Forum, and Medicare Advantage and Managed Care Cost Analysis Discussion
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AARP Public Policy Institute Innovation Roundtable Explores Language Access in Managed Long-Term Services and Supports

On Wednesday, June 25, 2014, NAHC Executive VP Elaine Stephens attended the AARP Public Policy Institute Innovation Roundtable on Language Access in Managed Long-Term Service and Supports. The roundtable brought together representatives from health plans, front-line service providers, policy researchers, and federal and state policymakers. Their shared agenda was to explore how to increase access to care among Medicare beneficiaries with limited proficiency in English, a pressing issue as our nation becomes more diverse. The Centers for Medicare and Medicaid Services, insurance plans, and providers are increasingly concerned about barriers that prevent Medicare beneficiaries from communicating effectively with their providers at all levels.

Poor communication between patients and providers puts patients at risk for medical errors and receipt of substandard care, so providers must take steps in response to America’s demographic change. The number of minority Medicare beneficiaries has increased and is expected to continue growing. According to the American Community Survey of 2006, 13.9 percent of Americans age 65 and older spoke a language other than English, and a sizable share had limited English proficiency. The U.S. Census Bureau projects that from 2005 to 2030 the proportion of the population that is Hispanic will increase from 14 to 20 percent and the Asian proportion will increase from 4.3 to 6.2 percent.

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Olmstead at 15: The Legacy of a Landmark Case

Overview of Olmstead

June 22 marked the 15th anniversary of the Supreme Court decision, Olmstead vs. L.C.

Facts of the Case. The Plaintiffs, Lois Curtis and Elaine Wilson, had developmental disabilities and mental illness. The Plaintiffs had originally been admitted voluntarily to state-run Georgia Regional Hospital, in the psychiatric unit. After receiving medical treatment, state mental health employees recommended that both Plaintiffs should be treated in a community, rather than institutional, setting. However, both remained in Georgia Regional Hospital for several years, and in 1995 both sued Georgia under the Americans with Disabilities Act (ADA) for their release.

Holding. On June 22, 1999, the Supreme Court held that Title II of the ADA requires persons with mental disabilities to be placed in community settings and not institutions when

  • “Such action is in order when the State’s treatment professionals have determined that community placement is appropriate,
  • [T]he transfer from institutional care to a less restrictive setting is not opposed by the affected individual, and
  • [T]he placement can be reasonably accommodated, taking into account the resources available to the State and the needs of others with mental disabilities.”

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Open Forum, and Medicare Advantage and Managed Care Cost Analysis Discussion
Closing General Session at the Financial Management Conference

This year, NAHC and its affiliate Home Care & Hospice Financial Managers’ Association (HHFMA) Financial Management Conference & Exposition is being held July 13 – 15 in Chicago, IL. Once again, the Closing General Session will present its open, no holds-barred forum meeting to conclude the annual conference. The session addresses any and all issues of interest to the conference faculty and attendees. 

A special feature at this year's Closing General Session is a program focused on Medicare Advantage and managed care cost analysis.

The Managed Care Task Force Committee of HHFMA has developed an analytical tool that assists providers with the essential task of costing and pricing Medicare Advantage Plan services to assist all providers with network contract negotiations. The tool is based on the nationwide Managed care Survey conducted by HHFMA.

The seminar will include a discussion of the survey results and the use of the MA plan Costing and Pricing Tool. Be sure to plan you time at the Financial Management Conference to include this crucial program at the closing session of the conference.

Moderator: William A. Dombi, Esq., Vice President for Law, National Association for Home Care & Hospice; Executive Director, Home Care & Hospice Financial Managers Association, Executive Director, National Council on Medicaid Home Care, Washington, DC

Panelists: Pat Laff, CPA, Managing Principal, Laff Associates, Hilton Head Island, SC; Paul Giles, BS, Director of Home Health Finance, Dignity Health Care, Yorba Linda, CA ; Christopher Attaya, MBA, FHFMA, VP, Business Intelligence, Strategic Healthcare Programs, Santa Barbara, CA; Dawn Michelizzi, BS.  Controller, VNA of Greater Philadelphia, Philadelphia, PA

To register to attend this year’s Financial Management Conference & Exposition, please click here.

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