States and CMS are in the early stages of evaluating the demonstrations and also looking at mid-course corrections and improvements based on experiences to-date. At the same time, advocates and policymakers are contemplating future health care delivery system reforms, as part of a broader reform effort to pay for value and outcomes, instead of volume. […]
On July 26, disability and aging advocates will celebrate the 25th anniversary of President George H.W. Bush signing the Americans with Disabilities Act (ADA) into law. This celebratory time offers an opportunity to commemorate the ADA’s history and its future potential. In Justice in Aging’s new issue brief, ADA at 25: Aging Advocates Celebrate Partnership […]
Update: Justice in Aging Comments Submitted July 27 On May 27, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to update the Medicaid managed care regulations for the first time in over ten years. Comments on the proposed regulations are due Monday, July 27 at 5:00 p.m. Eastern. Your experience working […]
New federal regulations have established first-time standards for when settings qualify as “community-based” for the purposes of Medicaid-funded Home and Community-Based Services (HCBS). Each state is charged with developing a transition plan to meet these standards. These plans will have a huge impact on older adults receiving Medicaid-funded HCBS in assisted living, adult day services, […]
Person-centered planning encompasses the idea that the individual is at the heart of all decisions about services, supports, and care. When people are given the opportunity to choose where, how, and by whom they receive their care; and make their own decisions about mealtime, bedtime, which activities they engage in, and generally direct their own […]
The Problem: Can You Spot the Legal Violations in this Job Announcement? California’s assisted living policy is surprisingly behind-the-times. 30 years ago, the assisted living system was created in California for residents without significant health needs. Today, assisted living residents are much sicker than they used to be, but there’s no solid quality of care […]
The Problem: A False Choice Between Community Living and Access to Health Related Services "The false choice between the social model and health care expertise contradicts the goal of aging in place: to age with choice and independence, along with access to needed services." This policy issue brief, by Justice in Aging attorneys Eric Carlson […]
Across the country, assisted living facilities now provide services for residents with significant care needs, a noticeable change from 30 years ago when California adopted its quality standards. California developed its regulations on the premise that facilities do not provide, and residents do not need, health care services. Decades later, this premise has perpetuated an […]
Changes to health care coverage are happening rapidly and can be confusing for advocates to understand and explain to beneficiaries. This issue brief, the first we’re releasing under our new name, Justice in Aging, and co-authored by Advocates for African American Elders (AAAE), discusses the importance of effective outreach and education during any complex health […]
Unfinished Business: Designing Appeals Procedures in the Dual-Eligible Demonstrations helps stakeholders focus their advocacy about appeals on areas where a consumer voice can have the most potential to affect programs, by highlighting the many areas where appeal rights and procedures have not yet been fully developed. – December 2014
