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You are here: Home / Archives for Links of Interest / Long-Term Care / MLTC

June 2, 2020

Mary Mayhew seeks managed care extension but eyes future changes

Florida health care officials on Monday formally asked the federal government to extend for two more years a “waiver” to allow the state to keep intact its Medicaid program that relies on steering patients into privately run managed-care plans. The request, published Monday, doesn’t contemplate making any major immediate revisions to Medicaid, the safety-net health […]

Filed Under: MLTC

November 1, 2019

California Nursing Home Residents Told To Find New Homes

Some of California’s most vulnerable nursing home residents, many of whom have nowhere else to go, are receiving letters from their health care plans saying they are no longer eligible for long-term care. In one notable example, three dozen nursing home residents in San Luis Obispo County were informed on the same day that their […]

Filed Under: MLTC

April 17, 2019

Invoking ‘Pain & Profit’, Sen. Bob Casey requests — and gets — federal probe of ‘dangerous’ denials by Medicaid companies.

Last year, an investigation by The Dallas Morning News exposed how the giant companies Texas pays to provide health insurance to extremely poor and disabled people were systematically skimping on care to boost profits. Days after “Pain & Profit” began publishing, Texas lawmakers launched official inquiries, millions of dollars were freed up to increase state oversight and about two dozen bills […]

Filed Under: MLTC

February 26, 2019

Key Issues in Long-Term Services and Supports Quality

2017 marks the 30th anniversary of the passage of the Nursing Home Reform Act as part of the Omnibus Budget Reconciliation Act of 1987, the federal legislation that substantially strengthened federal standards, inspections and enforcement of nursing home quality. The Act also merged Medicare and Medicaid standards, required comprehensive assessments of residents, set minimal requirements for […]

Filed Under: MLTC

December 21, 2018

Coverage Denied: Medicaid Patients Suffer As Layers Of Private Companies Profit

Marcela Villa isn’t a big name in health care — but she played a crucial role in the lives of thousands of Medicaid patients in California. Her official title: denial nurse. Each week, dozens of requests for treatment landed on her desk after preliminary rejections. Her job, with the assistance of a part-time medical director, […]

Filed Under: MLTC

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Putting Hard-Earned Improvements in Nursing Homes at Risk

We are witnessing unprecedented rollbacks in regulations that were established to protect our nation’s Elders. In October 2016, CMS issued a final rule, “Medicare and Medicaid Programs; Reform of

Transformation of the U.S. Long Term Care System: Trends and Concerns

The American long term care system has changed dramatically over the last several years as the need for care has increased steadily with the aging of the boomer generation. Arguably the most important

Crisis in Puerto Rico for the Elderly

Hurricane Maria devastated Puerto Rico on September 20th and the residents of the island remain in great need of assistance.  Many months later the elderly receiving long term care assistance or in need of such care are among the most vulnerable in the wake of the disaster. Over 16% of Puerto Rico's population are elderly, 40% of them live at or below the poverty level. A high percentage compared

Dallas Morning News “Pain and Profit” Briefing by The Claude Pepper Center

The June 2018 Dallas Morning News’ investigative series, “Pain and Profit”, published over several days with personal stories as well as a systemic critique of the multi-billion dollar Texas Medicaid

Climate Change and Aging

Climate Change and Aging

Climate change and global warming are concepts with their fair share of political controversy, but there is no denying the fact that over the past several decades, the average temperature of the earth

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