California Healthline: Medi-Cal Cuts Undermining Senior Programs, Facilities, Advocates Say

St. Barnabas Senior Services Adult Day Center
by David Gorn, 

The irony of the situation was not lost on Linda Trowbridge, CEO of the Center for Elders’ Independence in Oakland.

At an Assembly hearing in Sacramento last week, Trowbridge said funding for California’s Program of All-Inclusive Care for the Elderly — or PACE — has been systematically cut over the past six years and yet it is often cited as the model of care the state would like to pursue.

The federally subsidized program is aimed at providing and coordinating care to allow seniors and people with disabilities to remain living at home.

“Everybody who is in this program would otherwise be in a skilled nursing facility,” Trowbridge said. The program saves the state money, she said, pointing to estimates that PACE centers cost 11% of what it would cost to have people go to nursing facilities. Ironically, the PACE program is one of the state’s models for its Coordinated Care Initiative for dual eligibles, Trowbridge said.

“It is an integrated system that CCI is modeled on today,” Trowbridge said.

PACE centers are having a tough time maintaining the same level of service with fewer dollars, she said. The most recent reduction — a 10% Medi-Cal reimbursement cut passed by the Legislature in 2011 that started to go into effect at the end of last year — is the most crippling, Trowbridge said.

Continue reading here: http://www.californiahealthline.org/insight/2014/medical-cuts-undermining-senior-programs-facilities-advocates-say

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  • LAAAC is managed by St. Barnabas Senior Services; Funded, in part, by Archstone Foundation.
  • St. Barnabas Senior Services

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