» California Moving 456,000 Seniors Into Managed Care Program, Observes Elder Law Attorney

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
http://www.gilfix.com/

Facebook: Like Us!



  • Mark Gilfix Discusses Estate Planning With the Star of the Investigation Discovery Show, “Reasonable Doubt”, Melissa Lewkowicz
    Mark Gilfix recently sat down in the offices of criminal defense attorney, and cable TV star, Melissa Lewkowicz, to discuss the 3 key estate planning documents that every American needs. Watch the Facebook video below. You can watch Melissa Lewkowicz in Reasonable Doubt on Investigation Discovery or see clips at https://www.investigationdiscovery.com/tv-shows/reasonable-doubt/.
  • Why a durable power of attorney is a valuable estate planning tool
    A Durable Power of Attorney (DPOA) allows an individual to give a designated person — known as an “attorney in fact” — authority to sign documents and act on their behalf. The legal document is particularly beneficial for individuals who are worried about mental or physical incapacity in the future. For example, an elderly person […]
  • California couple’s eviction highlights dangers of elderly financial abuse
    The elderly can be vulnerable to various forms of elder abuse, one of which is financial exploitation. Financial exploitation involves unauthorized use of an elderly person’s finances or property, either by a family member, caregiver or an unknown scammer. The media recently reported the case of an elderly California couple who faced eviction from their […]
  • ‘Finding Dory’ puts spotlight on children with special needs
    Pixar’s recent film “Finding Dory” will have resonance for parents who have children with special needs. The animated film is the sequel to the 2003 blockbuster “Finding Nemo.” It tells the tale of a blue tang fish named Dory who suffers from short-term memory loss. She cannot remember names, faces or even her way back […]
  • Thank You For Making our 13th Annual Special Needs Seminar our Best Yet
    Gilfix and La Poll wishes to thank the hundreds of attendees, and wonderful nonprofit co-sponsors, for making our 13th annual Special Needs Seminar our best yet! We were overwhelmed with the response, and with all of the kind comments we received from seminar attendees. We were also thrilled to see many attendees connecting with co-sponsor […]

See other news sources publishing this article. BETA | Tags: , , , , ,



Get headlines from Law Firm Newswire sent right to your inbox.

* indicates required