272828 New Frontiers in Community Living: National Perspectives About the CMS Launch of the Demonstration Project for Younger Medicaid / Medicare Dually Eligible Beneficiaries

Monday, October 29, 2012 : 8:35 AM - 8:49 AM

Jean Flatley McGuire, PhD , Bouve College of Health Sciences, Northeastern University, Boston, MA
In January 2013, CMS will launch the first integrated care and financing strategies for younger dually eligible Medicaid/Medicare beneficiaries. This complex set of almost 4M under-65 year old individuals with disabilities; they include some of the most expensive Medicaid andMedicare recipients. This talk will describe the demographic, health status, and health expenditure profiles of this very heterogeneous population and summarize the rationales for restructuring their care and financing. Prior Medicaid and Medicare managed and integrated care and financing efforts will provide a basis for considering the opportunities and challenges in successfully achieving the objectives of improved community-based care access, improved health status and outcomes, and reduced overall costs. Characteristics of the proposed demonstrations will be reviewed relative to their likely contribution to these outcomes and their potential problems.

Learning Areas:
Administration, management, leadership
Ethics, professional and legal requirements
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
- Identify relevant characteristics of the dually eligible younger disabled population and the profile of proposed state-based demonstrations - Differentiate critical opportunities and challenges facing beneficiaries, providers, plans and states in the implementation of this ACA-related initiative

Keywords: Disability Policy, Financing

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Please see session organizer info. I will be moderating and presenting. I have over 35 years of experience in disability-related health, public health, and health care financing issues and have held senior public and private administrative roles in this arena. I assumed if I was speaking as well as moderating I had to fill out this info again.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.