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The National Medicaid Congress

The National Medicaid Congress. Strategies for Navigating the New Medicaid June 4-6, 2009 Washington DC. Steven L. Lund. Senior Director- State Relations National Association for Home Care and Hospice (NAHC). The Great Medicaid Make-Over. Reality TV Craze Make-Over Moniker

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The National Medicaid Congress

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  1. The National Medicaid Congress Strategies for Navigating the New Medicaid June 4-6, 2009 Washington DC

  2. Steven L. Lund Senior Director- State Relations National Association for Home Care and Hospice (NAHC)

  3. The Great Medicaid Make-Over • Reality TV Craze • Make-Over Moniker • This is not HYPE • How it Started • Home Care and Hospice Perspective • State Examples

  4. Reality TV Craze • People, Homes, Cars • Why Not Medicare? • The Make-Over Moniker

  5. Make-Over Moniker Medicaid Rebalancing

  6. This is not HYPE • Program Complexity • Rising Program Costs • Too Many Cooks in the Kitchen • Aging Technology • Medicaid 24X7 • Boulder in a Swimming Pool

  7. How Rebalancing Started • National Governors Association Reports • Olmstead Decision • New Freedom Initiative • Executive Order # 13217

  8. Home Care and Hospice Perspective The Key Question for the Home Care Industry…

  9. Home Care and Hospice Perspective The Key Question for the Home Care Industry….is how can we be sure home care and home care providers are seen as a primary care option as States rebalance their Medicaid delivery and reimbursement systems?

  10. Home Care and Hospice Perspective Rebalancing Principles: • Primary • Secondary

  11. Home Care and Hospice Perspective Primary Rebalancing Principles • Eligibility • Quality • Access • Services • Administration

  12. Home Care and Hospice Perspective Secondary Rebalancing Principles • Financing • Design Flexibility • Payment • Managed LTC • Stakeholders

  13. Home Care and Hospice Perspective The National Association for Home Care and Hospice recommends that State Medicaid programs measure their rebalancing plans against these principles. If they do so, we believe the States will not only move toward legal compliance, but will have a Medicaid plan that will better serve the interests of Medicaid beneficiaries as well as the Medicaid budget.

  14. State Examples • Florida • Vermont • Pennsylvania • New Mexico • North Carolina

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