The aging of America is one of the greatest health challenges of the 21st century. It is estimated that nearly 27 million people in the country will require some form of long term care services by 2050. A significant number of these seniors will require some type of publicly supported assistance in paying for long term care.
The challenges come in creating solutions that work for consumers and providers and are sustainable over time for state and federal governments. The Affordable Care Act (ACA) seeks to address cost and quality concerns within the Medicaid and Dual Eligible long term care populations. The Obama Administration has also announced a focus on the quality and cost of care for Dual Eligibles. Sellers Dorsey is currently working on programs that enhance Home and Community Based Services through ACA and address Medication Non-Compliance with Dual Eligibles. We strive to create innovative solutions within this changing environment.
Sellers Dorsey works with states, providers and other stakeholders to address cost containment concerns, improve care quality and leverage all available funding options. A review of existing programs allows us to identify gaps between current services and population needs. From there we are able to determine solutions for bridging these gaps and strategies for implementing change.
Our expertise includes:
- Opportunities under the Affordable Care Act (ACA)
- Analysis of state long term care programs
- Legislation review and drafting to identify areas of concern and potential benefit
- Long term care rebalancing
- Nursing home right sizing
- Program for All Inclusive Care of the Elderly (PACE) design development for special populations like veterans and children
- 1115 and 1915 waiver development
- Financial strategies for budget neutrality and reimbursement
- Political strategy for legislators, stakeholders and federal approval
For further information, please contact Russ Pederson at rpederson@sellersdorsey.com.