Monterey, CA Medi-Cal and Medicaid Needs More Continuity Across Different States
by Richard Kuehn on 07/14/13
View From A Nonprofit Serving Carmel, Carmel Valley, Gonzalez,
Greenfield, King City, Marina, Monterey, Pacific Grove, Pebble Beach, Salinas,
Seaside And Soledad California
As
Medicaid (called Medi-Cal in California) expands rapidly under the new health
care reform rules, many worry about how states will cope with the huge influx
of people being covered. Many states, including California, outsource their
enrollees to ensure quality of care and make things more efficient. But many in the healthcare sector believe
that this is not ideal. The latest data
from the Centers For Medicare
& Medicaid Services showed that California leads the nation in the number of
Medicaid managed care participants (and this is prior to the expansion). We currently have more than 4.5 mil.
enrollees in these types of plans, more than 15% of our country's total. Many believe that there needs to be more
consistency on a national level.
"The quality of the monitoring and the quality of the managed care
really varies from state to state," Joan Alker, a co-executive director of
the Center on Children and Families at Georgetown University, told USA
Today. "These are very vulnerable
populations, and sometimes, not getting the services they need is a matter of
huge import." I agree. Many of
those on Medi-Cal don't realize that they have rights just as those do who are
covered by private insurance. They
believe because the government is footing the bill, they have to take whatever
is doled out. This isn't true. Medi-Cal comes at an extremely high cost and
that will only increase next year. We
must make the system as efficient as possible.
http://www.usatoday.com/story/money/business/2013/07/04/more-eyes-on-medicaid-oversight/2490197/
About
Richard Kuehn & Hands to Help Seniors:
After more than a decade of caregiving, both
in a professional environment and for a 97 year old family member, it became
clear to me that there are many seniors that can't afford to pay for a private
duty caregiver, not to mention medical expenses, food and property taxes on
their home. I decided to form a non-profit to help seniors with any
service they might need to get by, should they be unable to afford this
themselves. From putting on a new roof to providing a hot meal, Hands to
Help Seniors is there to help. Please visit my blog where I talk about
important senior issues at:
http://www.h2hs.org/news-and-media.html
Please note that this blog reflects my
personal opinion and may or may not reflect the opinion of Hands to Help
Seniors and the individual members comprising the Board of Governors.