Skip to main content

Michigan Considering Letting HMO's Manage Its Medicaid Long-Term Care Program

Michigan is exploring the radical idea of letter private HMO's administer its $2.8 billion long-term care program.  The initial review of the idea is expected in July.  Part of Michigan's justification is valid; Medicaid is fragmented into different programs administered by different entities.  The main programs are nursing home long-term care, MI Choice Waiver for in-home care and assisted living, and PACE which strives to keep seniors in their home. 

A  consolidation of all the programs would be a good idea, letting private insurance companies control the care and funds is not a good recipe for improving the care of vulnerable Michigan seniors.  The Michigan Association of Health Plans is lobbying hard to grab these funds.  It is unlikely the health plans will prioritize care over profit. 

The Area Agency on Aging Association of Michigan has issued strong statements against the plan.  Area Agencies on Aging currently administer the MI Choice Waiver and PACE programs.  The Health Care Association of Michigan, which represents state nursing homes, has issued statements indicating it is skeptical of the proposal; it feels Michigan does a good job of administration and profit-driven entities will not improve the administration or services.

The proposal has not garnered much attention, unlike the previous plan to privatize Michigan's mental health system.  That proposal met with heavy resistance, but Michigan has managed to authorize a few pilot programs.

Any switch of Medicaid funds to private insurance should be scrutinized closely, and improving care should always be the focus, not profit.  As an experienced elder law attorney in Northern Michigan and DHHS Board Member overseeing a nursing home and a PACE program, I am not comfortable with this idea.

Swogger, Bruce & Millar Law Firm, P.C.
10691 East Carter Road, Suite 103
Traverse City, MI 49684
(231) 947-6800

Comments

Popular posts from this blog

Jeff Bartel's Commitment to Philanthropy

This is the first part of a series looking at business leaders and their charitable work. I want to explore how different leaders prioritize corporate social responsibility and business ethics. Accordingly, I am putting the spotlight on Jeff Bartel, a Miami entrepreneur and Managing Director of the Hamptons Group, who was appointed to the newly created position of Corporate Responsibility Officer for Florida Power and Light back in 2010 before these roles became standard in the corporate ecosystem. I will cover some of the highlights from Jeff’s charitable work from 2006 to 2012 and plan to feature his charitable work from 2013 to 2022 in a future article. Reducing Carbon Dioxide Emissions In 2006, Jeff worked with Sarasota County officials to help them make a strong environmental commitment so Florida Power and Light ( FPL) could build its first solar array . Sarasota County voted to allow one of its underused park locations to erect the solar array and was projected to reduce carbon...

Children’s Insurance, Other Health Programs Funded — For Now — In Bill

The bill passed by Congress late Thursday to keep most of the federal government funded for another month also provided a temporary reprieve to a number of health programs in danger of running out of money, most notably the Children’s Health Insurance Program, or CHIP. Funding for CHIP technically expired Oct. 1. States have been operating their programs with leftover funds provided by the Department of Health and Human Services since then. But  nearly half of the states were projected to run out of money entirely by the end of January, putting health coverage for nearly 2 million children at risk by that point. The funding provided by Congress for CHIP — $2.85 billion — is for six months, but it is back-dated to Oct. 1, so it will run out at the end of March 2018. The program covers 9 million children across the country. Follow the link below for the full story. Childrens Insurance Other Health Programs Funded For Now In Bill

Adding Cost of Living Adjustments to Veterans Benefits

The Veterans Compensation Cost of Living Adjustment Act of 2018 aims to temporarily fix a common problem for veterans; benefits have stayed the same while the cost of living and inflation rise.  Veterans benefits are effectively cut each year that Congress does not pass a COLA bill.  Earlier this year, Congressman Mike Bost submitted the new bill; he is the Chairman of the Disability Assistance and Memorial Affairs subcommittee.  The bill directs the Department of Veterans Affairs to increase benefits as of December 1, 2018, using the same COLA used by the Social Security Administration. Congresswoman Elizabeth Etsy said that “ensuring our heroes’ benefits keep pace with the rising cost of living is the least we can do for them.  With a cost of living adjustment, we will be able to put more dollars in the hands of the men and women who served our nation.  Congressman Bost stated “it’s vitally important that we ensure the men and women who have served our na...