By Tim Mullaney Among people eligible for Medicaid but not Medicare, long-term care residents are most likely to be among the costliest beneficiaries for a state, according to a new report from the Government Accountability Office. Investigators based their analysis on fiscal year 2009 government data, such as from the Medicaid Statistical Information System. Beneficiaries whose … Continue reading

SacBee: The State Worker: Did CalPERS lie about long-term care insurance policies?

By Jon Ortiz jortiz@sacbee.com Published: Thursday, Feb. 28, 2013 – 12:00 am | Page 3A Last Modified: Thursday, Feb. 28, 2013 – 11:00 am Did CalPERS lie? Some longtime policyholders who bought CalPERS’ most costly long-term care insurance think so after the fund’s board recently approved a huge premium hike. About 148,000 members of the California Public … Continue reading

Kaiser Family Foundation: Medicaid’s Role in Meeting the Long-Term Care Needs of America’s Seniors

This brief examines Medicaid’s key role in meeting the long-term care needs of seniors in the United States, particularly those with limited incomes. Medicaid is the nation’s primary payer of long-term services and supports, and state Medicaid programs provide a range of long-term care services. The brief includes state-by-state data on Medicaid enrollment and expenditures … Continue reading

California Healthline: Historic Week in Health Care Reform

by David Gorn California has been working on health care reform for years, but this week’s legislative special session had that distinctive sound of a starting gun for the last, big dash toward the Affordable Care Act finish line. On Tuesday, when Assembly Committee on Health chair Richard Pan (D-Sacramento) convened the opening hearing for … Continue reading

LA Times: CalPERS plans 85% rate hike for long-term-care insurance

More than 110,000 CalPERS policyholders are being warned about the hefty increase, which won’t take effect until 2015. By Chad Terhune, Los Angeles TimesFebruary 21, 2013, 4:54 p.m.  Dailey Mayo received some stunning news in the mail last week: an 85% rate increase for the long-term-care insurance he has had for 15 years from the California Public … Continue reading

SacBee: CalPERS sets new long-term care rates, plans open enrollment

A key CalPERS committee today approved a plan to reopen its long-term care insurance to new policyholders, widen the eligibility pool and introduce a new, cheaper benefit program. Today’s news — “CalPERS enrollees receive notice of long-term care rate hikes” — underscored CalPERS’ decade-long effort to right a struggling program that pays for things like nursing care … Continue reading

California Community Choices: The Power of Integrated Information: Benefits and Challenged of Developing a Long Term Care Data Warehouse in California

John William Springs, a retiree who gets nearly $12,000 a year in Social Security and disability checks, is $1,300 above the poverty threshold: officially, not poor.

Report Title – The Power of Integrated Information:  Benefits and Challenged of Developing a Long Term Care Data Warehouse in CaliforniaThis report was commissioned under the California Community Choices Project to explore models and promising practices for better integrating long-term services and supports (LTSS) data.  The survey and analysis of healthcare and other LTSS data … Continue reading

LA Times: California lawmakers set to tackle healthcare expansion

January 25, 2013 | 12:56PM – Michael J. Mishak in Sacramento State lawmakers are set to introduce a series of proposals Monday to help California implement President Obama’s healthcare overhaul, including a major expansion of Medi-Cal, the state’s public insurance program for the poor. Gov. Jerry Brown called for the special legislative session in his … Continue reading

California Healthline: Payments Delayed to CBAS Centers

by David Gorn California centers that offer adult day services are having trouble getting reimbursed for services provided to Medi-Cal beneficiaries under the state’s new Community Based Adult Day Services program launched on Oct. 1. “We are not getting paid. And I don’t know when we will get paid. I’m not expecting anything at this … Continue reading

California Healthline: Settlement Proposed for Medicare Coverage of Home Health Care

he Obama administration has proposed a settlement in a nationwide class-action lawsuit that would allow thousands of U.S. residents with chronic conditions or disabilities to qualify for Medicare coverage of home health care services, the New York Times reports (Pear, New York Times, 10/22). Background on Lawsuit In January 2011, the Center for Medicare Advocacy — which filed the … Continue reading

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