California Moving 456,000 Seniors Into Managed Care Program, Observes Elder Law Attorney
Palo Alto, CA (Law Firm Newswire) May 16, 2013 – The state of California is planning to shift long-term care to managed care companies.
Managed care companies offer comprehensive care for low-income seniors and people with disabilities for a fixed monthly rate. The program to be adopted in California is MediConnect and it is designed to cover individuals with extensive levels of care and is covered by benefits from both Medi-Cal, California’s version of the federal Medicaid program, and Medicare.
“During the next 12-plus months, it is estimated that approximately 456,000 people will be enrolled in California in the largest program of its kind,” noted Palo Alto elder law attorney Michael Gilfix.
In Los Angeles alone, as many as 200,000 people will be enrolled, a larger one-state group than anywhere else in the U.S.
Advocates of managed care support comprehensive care for people with disabilities and the elderly. The complexities of their needs are typically better met in a full-package program, one which uses nutrition, supervision, transportation, and activities fully designed to cover all aspects of care needs. Managed care can mean huge savings; a one-service system typically costs significantly less than hiring out one-task specialists for every service. California advocates of managed care currently estimate that while the program will save just one percent in the first year, it will see savings closer to four percent by year three. Under Medicare, any medical costs which are reduced under a long-term care program go back to the federal government. Under the new program, savings would revert to the state.
But managed care critics are concerned: this wave of complex managed care patients in Los Angeles is the first of its kind. Can high-quality care for so many people with a multitude of complex issues be met consistently? If the program cannot produce a profit, how and where will they cut back? And how will that affect the quality and range of services?
As this is implemented, the need for asset protection and long-term care planning will be greater than ever.
The California program is being launched as a three-year demonstration. Other states, including Illinois, Ohio, Massachusetts, and Washington, who are beginning to run similar managed care programs, will be watching closely to see how well it works for the state, and for the patients.
To learn more, visit Gilfix & La Poll Associates LLP at http://www.gilfix.com/.
Gilfix & La Poll Associates LLP
2300 Geng Rd., Suite 200
Palo Alto, CA 94303
Telephone: (650) 493-8070
Facebook: Like Us!
- California Families With A Special Needs Child Deserve Better State Support; Role of Special Needs Trusts
According to a study by the Lucile Packard Foundation for Children’s Health, California is ranked last in the U.S. when it comes to effective referrals for specialty medical care for children, and 46th in the country for effective medical care coordination. There are approximately 1 million children in California who have chronic emotional, developmental, and/or physical [...]
- Estate Planning: Consider A Living Trust
As part of your estate planning needs, you must consider a living trust, often referred to as a revocable or “inter vivos” trust. If you are a California resident and have more in than $100,000 in assets, a living trust will help you avoid probate or conservatorship down the road. If your estate goes into [...]
- Gifts to Grandchildren: UGMA and UTMA
Two attractive financial options for some of our clients exploring estate planning options for their grandchildren can be found with the Gifts to Minors Act (UGMA) and the Uniform Transfers to Minors Act. These are two college savings accounts which allow a grandparent to gift money to an account set up by the parent of [...]
- Gilfix (No. 110) Participates, Places in 2013 National Senior Games in Cleveland, Ohio.
In 2012, Michael Gilfix (age 66) qualified for the 2013 National Senior Games by winning both the 5K and 10K races in his 65-to-69 age bracket at the California Senior Games. Mike participated in the 5K race on July 23, 2013 in the National Games in Cleveland. In a challenging national field, Mike placed 8th with a time [...]
- Expanded Free And Available Health Services For California Seniors; Long-Term Care Costs Not Addressed
While California enjoys the reputation of a destination state — outdoor recreation, abundant fresh produce, and often mild weather — the state was recently ranked 25th in terms of senior health. Even though seniors are typically living longer, more of them are doing so in a state of suboptimal health. Meanwhile, resources for healthcare have [...]