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!
- Survey reveals more than one-third of wealthy individuals lack estate plans
The CNBC Millionaire Survey has found that 38 percent of 750 millionaires surveyed have not consulted a financial expert to establish an estate plan. The poll conducted by Spectrem Group for CNBC revealed estate planning was the most prevalent among individuals with investable assets amounting to at least $5 million, with 68 percent having worked […]
- Nike launches groundbreaking shoes for people with special needs
People with special needs face unique challenges that impact the quality of their everyday lives. For parents of special needs children, there is no greater hope than ensuring their child experiences life to the fullest despite having a disability that may inhibit their independence. Addressing one such issue, on July 13 Nike unveiled a line […]
- Michael Gilfix in Trusts & Estates Magazine: Addressing Financial Elder Abuse
Friends, We wanted to share an article that Michael Gilfix published in the prestigious Trusts & Estates magazine late last year. The article discusses issues related to elder abuse and diminished capacity as individuals age. In this article, Michael presents a new paradigm for thinking about this. He presents ways that families can keep an […]
- Top reasons women need to consider estate planning
Whether single, married, divorced or widowed, every woman should know how to maintain her financial independence and plan for issues she might face as she gets older, such as the need for long-term care. Women in the United States statistically have longer life expectancies than men, and therefore a higher likelihood of outliving their husbands. […]
- U.S. Government focuses on elder justice at conference on aging
President Barack Obama hosted the 2015 White House Conference on Aging on July 13. With adults aged 65 and above projected to comprise 20 percent of the United States population by 2030, the conference examined issues of importance to the future of older Americans, their families and caregivers. Elder justice was in the spotlight at […]