272901 Ensuring Consumer Protection in Integrated Care & Financing Models for People with Disabilities

Monday, October 29, 2012 : 9:17 AM - 9:31 AM

Kevin Prindiville, JD , National Senior Citizens Law Center, Oakland, CA
The National Senior Citizens Law Center (NSCLC) has been playing a large role in developing legal and other analytic documents to inform the federal and state-based planning for the integrated care and financing demonstration for younger dually eligible individuals. Additionally, they have been leading a collaborative strategic process with other national Medicare rights and disability organizations to facilitate consensus around critical system development concerns. This talk will address the evolution of recommended consumer protections, reflecting both the vantage point that senior groups have already brought to policy changes in Medicare and existing senior dual eligible care and financing models and the evolution of these analyses in the face of the new younger duals' strategies. In particular, the talk will address critical enrollment, continuity of care, plan and provider choice, appeals and grievances, financial structures, and oversight and monitoring.

Learning Areas:
Administration, management, leadership
Advocacy for health and health education

Learning Objectives:
Describe critical consumer protection related concerns in the forthcoming duals demonstration project. Identify Medicaid/Medicare integrated care and financing coverage, rights, and advocacy concerns shared by elders and people with disabilities.

Keywords: Health Law, Disability Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As Deputy Director of the National Senior Citizens Law Center, I have been leading an analytic process with national disability, aging, Medicare and Medicaid rights groups to inform state level and federal efforts in the duals demonstration process which will be the focus of this talk. I have a lengthy history in federal policy development in disability and elder related care and financing.
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.