California PACE Program Faces Significant Reimbursement Cuts
March 3, 2014March 3, 2014 – California’s Program of All-Inclusive Care for the Elderly (PACE), a program used to keep seniors and the disabled living at home at 11% of the cost of skilled nursing facility care, has faced cuts over the last six years. A bill in California’s Assembly hopes to reverse the 10% MediCal cuts effective late last year.
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February 27, 2014Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit.
Elder Abuse Bills Gain Traction in Georgia and Iowa
February 17, 2014February 17, 2014 – In Georgia, a House panel approved a bill that would increase the first offense of operating an unlicensed personal care home from a misdemeanor to a felony. In Iowa, a bill would provide emergency orders and resources and referrals for elderly abuse victims.
California Replaces Sanctioned Plans for Duals Demo
February 14, 2014February 14, 2014 – Two of California’s duals plans had been sanctioned this year by CMS, one because of marketing and enrollment issues, and the other because of quality issues. California has managed to substitute the two contractors with three. The revised start date for the Duals Demo, though previously delayed numerous times, remains at April of this year.
North Carolina Paying Millions in Consulting Fees to Revamp Medicaid
February 14, 2014February 14, 2014 – One consultant contract, for $3.25 million, provides for a reorganization of NC’s Medicaid department, while the second, at almost $500,000, seeks to assess the state’s fraud and audit capabilities and provide recommendations in that space.
Florida MCOs Transitioning Enrollees from Nursing Homes to Home Care
February 10, 2014February 10, 2014 – Sunshine Health, one of seven of Florida’s Medicaid MCOs, has transitioned 163 Medicaid enrollees from the nursing home. Seventy of those have been transitioned to home care. Florida is in the process of transitioning 45,000 nursing home residents and 40,000 home care and assisted living facilities residents to managed care.