Medicaid Managed Care - U.S. Senate Special Committee on Aging
Share Embed Flag
Download ePaper

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

aging.senate.gov
from aging.senate.gov More from this publisher
29.07.2013 Views

73 This has pretty serious implications for the disabled population where, if a plan is not providing services, they are particularly at risk. The State's ability to come in and pull them out of a plan because their enrollment is now the property of the plan becomes very difficult. So these kinds of issues in pending legislation are going to have a significant impact on your ability to move these populations in. If plans have pre-termination rights, you may have to reconsider how quickly and how much and what extent of services you are going to put into managed care plans. The other issue in terms of what is going on right now that will affect the disabled populations is in the current plans for Medicare and choices of plans. In other words, people now will start getting, as Federal employees get, a packet of materials where they can choose their plan or they can go into the traditional Medicare program. Obviously, the expectation-if you do not choose a plan, you automatically go into the traditionally Medicare program. The default provisions right now, default enrollment into traditional Medicare, are now regarded as somewhat ambiguous. That is, everybody thinks that people who do not enroll are going to go into the main Medicare program, but the language itself is somewhat ambiguous, so that theoretically, it would be possible through regulation or subsequent legislation or whatever to have something else happening with those default enrollees. I think that if this is an area where everyone has very clear expectations about what they think is going to happen, you need to be sure that the legislative language clearly reflects that expectation. Given the fact that certainly in Medicare managed care, there is also a similar lack of experience with disabled populations, you want to be sure that you are not pushing people into these systems sooner than these systems are ready to take them in. I think at this point I'll stop. [The prepared statement of Ms. Smith follows:]

74 .The WASHNTND MEDICAL CENTER CENTER FOR HEALTH PoucY RESEARCH Testimony Before the United States ong>Senateong> ong>Specialong> ong>Committeeong> on Aging Dirksen Building, Room G-3 1 Washington, DC 20510-6400 April 29, 1997 Barbara Markham Smith Senior Research Staff Scientist The George Washington University Medical Center Center For Health Policy Research 2021 K Street, N.W., Suite 800 Washington, D.C. 20006

74<br />

.The<br />

WASHNTND<br />

MEDICAL CENTER<br />

CENTER FOR HEALTH PoucY RESEARCH<br />

Testim<strong>on</strong>y Before the<br />

United States <str<strong>on</strong>g>Senate</str<strong>on</strong>g><br />

<str<strong>on</strong>g>Special</str<strong>on</strong>g> <str<strong>on</strong>g>Committee</str<strong>on</strong>g> <strong>on</strong> <strong>Aging</strong><br />

Dirksen Building, Room G-3 1<br />

Washingt<strong>on</strong>, DC 20510-6400<br />

April 29, 1997<br />

Barbara Markham Smith<br />

Senior Research Staff Scientist<br />

The George Washingt<strong>on</strong> University Medical Center<br />

Center For Health Policy Research<br />

2021 K Street, N.W., Suite 800<br />

Washingt<strong>on</strong>, D.C. 20006

logo

products

Resources

Company

Terms of service
Privacy policy
Cookie policy
Cookie settings
Imprint
Change language
Made with love in Switzerland
© 2024 Yumpu.com all rights reserved

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!