Medicaid Managed Care - U.S. Senate Special Committee on Aging

Medicaid Managed Care - U.S. Senate Special Committee on Aging Medicaid Managed Care - U.S. Senate Special Committee on Aging

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694 INTRODUCTION People living with HIV, and their advocates, can be proud of their history of activism in fighting for acces to health carm We have shown a willingness to be vocal on Capitol Hill and in the streets to get our community's health care needs met. With all of its shortcomings and limitations, we must value ong>Medicaidong> as the main sosurce of health care for most people with AIDS; we must continue the legacy of direct involvement of consumers of health care services with policy makers and health care providers to work toward an improved health care system; and we must rely on the history and expeiesnce of people living with HIV to devise managed care systems that provide people living with HIV and other beneficiaties with high quality health care. NATIONAL AssociATiom or PrOPLE WITH AIDS I 4 4 - 0 9 8611

ENSUS FOR ACON In examining issues related to ong>Medicaidong> managed care, agree. ment was reached on nine key consensus points that can serve to guide the actions of people living with HIV: 695 ong>Medicaidong> managed care is increasingly becoming the reality for people living with HIV. To protect high quality health care,_ It Is necessary to accept that managed care Is here to stay. In talking about managed care for people living with HiV, it is very easy to focus only on the problems that many people face in getting the services they need. It is understandable that some people respond to this by advocating against managed care By looking at the factors that have caused public and private health care programs to embrace managed care it is difficult to believe that any level of advocacy will prevent health care from being managed. Over the past few decades, health costs have increased at a rate of inflation greater than that of other goods and services. Our nation spends a growing portion of its resources (when measured as a percentage of the gross domestic product) on health care, and we already spend far more for health care per capita than any other nation. We do not believe that working against managed care is a usefls strategy for protecting high-quality health care for people living with HIV. Instead, we believe that people living with HIM, and their advo- cares, should recognize the legitimate problem of unconstrained cost increases that managed care is meant to address while also working strenuously to highlightthe problems of access to care that are often made worse by managed care. We believe that people living with HIV and all ong>Medicaidong> recipients benefit when real improvements are made in the efficient delivery of health care services, and resources are reinvested in expanding or improving health care services. Accepting managed care as a reality-does not mean that people living with HIV must accept poor quality or inadequate care. Rather, it means that the efforts of people living with HIV, and their advocates, should be focused on learning how managed care works and on seeting ways to improve managed care pro- grams. This should indude efforts to develop financing mechanisms that support the continued viability MA "KIMO MEDICAIO MANAGED CARE WORK AnAtn a. me- lonRa 5efrPrenUitWs far Po-ol. UlIA. .10 HIV i

694<br />

INTRODUCTION<br />

People living with HIV, and their advocates, can be proud of their history of activism in fighting for<br />

acces to health carm We have shown a willingness to be vocal <strong>on</strong> Capitol Hill and in the streets to get<br />

our community's health care needs met. With all of its shortcomings and limitati<strong>on</strong>s, we must value<br />

<str<strong>on</strong>g>Medicaid</str<strong>on</strong>g> as the main sosurce of health care for most people with AIDS; we must c<strong>on</strong>tinue the legacy of<br />

direct involvement of c<strong>on</strong>sumers of health care services with policy makers and health care providers to<br />

work toward an improved health care system; and we must rely <strong>on</strong> the history and expeiesnce of people<br />

living with HIV to devise managed care systems that provide people living with HIV and other beneficiaties<br />

with high quality health care.<br />

NATIONAL AssociATiom or PrOPLE WITH AIDS I<br />

4 4 - 0 9 8611

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