Archive for ‘public policy’

Five Immediate Consumer Benefits Under Health Reform

Posted by David Ward on March 12th, 2010 at 4:13 pm | No Comments »

Many thanks to Doneg McDonough, Legislative and Policy Director for Health Care for America Now, for providing this post.

1. Stops insurance companies from denying care based on “pre-existing conditions.”

- Immediately people who are uninsured due to a pre-existing condition can buy insurance through a special insurance program.

- Within 6 months of passage, no new health plan can discriminate against children with pre-existing conditions.

-In a few years, no insurance plan can deny coverage to anyone for pre-existing conditions.

2. Stops some of the worst insurance company abuses. Insurance companies can no longer:

- Cancel insurance coverage retroactively when you get sick (rescission).

- Put lifetime limits on the dollar value of benefits.

3. Expands coverage and care for the uninsured and people with insurance.

- Allow young adults up to age 26 to stay covered on their parents’ insurance.

- Offer free preventive benefits. Continue reading »

Maine Tables Report on Improving Home- and Community-Based Care

Posted by Helen Hanson on February 11th, 2010 at 4:45 pm | 3 Comments »

Helen Hanson

Well, our report is complete, but it has not yet been presented to the Legislature.

As you know if you’ve been reading this blog, I am part of a team that was appointed by the state of Maine to recommend ways that the Legislature’s Health and Human Services Committee could streamline long-term care service delivery, address equalities in the services provided, and hopefully gain some cost savings, which can be passed on to workers in the form of livable wages and benefits such as paid time off and health care coverage. We finished our work in early January, and the report was supposed to be released later that month.

But I just learned that the Department of Health and Human Services (DHHS) has put it on the back burner instead. Continue reading »

Join the DCA in Answering the President’s Call to Action

Posted by David Ward on February 1st, 2010 at 7:28 pm | 1 Comment »

President Obama

In his State of the Union Address last Tuesday, President Obama reiterated that his Administration’s #1 priority is to create more jobs and get our economy back on track. He also challenged Congress: “Don’t walk away from health care reform.”

The DCA applauds the President’s call to action. With more than a quarter of all direct care workers lacking health insurance, making quality health care affordable for all Americans remains our top priority. We’re also working to get direct care on the job creation agenda, so some of that funding will go to improve the quality of direct care jobs, ensuring that we can satisfy consumer demand for a stable, well-qualified workforce.

Direct care jobs are expected to be among the fastest growing occupations in the USA over the next decade. That means our nation is facing a crucial choice. We can continue to tolerate low-paying, poor-quality jobs that swell the ranks of the working poor and lead to poor care. Or we can invest in the direct care workforce. Continue reading »

Study Finds Lessons in Massachusetts Health Reform on How to Cover DCWs

Posted by Elise Nakhnikian on November 11th, 2009 at 4:42 pm | No Comments »

PHI MA study cover with borderDespite the overall success of Massachusetts’ health care reform, too many of the state’s direct care workers still cannot afford employer-sponsored health insurance, according to a new study from PHI and the Department of Public Health and Community Medicine at Tufts University School of Medicine.

According to Coverage for Caregivers: Lessons from Massachusetts Health Reform, (PDF) only one in every five direct care workers in the state have enrolled in an employer’s health care plan. Statewide, nearly three-quarters (71 percent) of working-age adults are covered through their employers.

Direct care workers often opt out of their employers’ plans because the premiums and copays are too costly. Instead, many work part-time in order to qualify for the state’s insurance plan, which costs less than most employer plans.“This disincentive to work undermines state efforts to build a quality, stable direct-care workforce,” said PHI Massachusetts Policy Director Amy Robins. Continue reading »

Webinar, Report Relay Tips on Finding and Keeping Direct Service Workers

Posted by Elise Nakhnikian on November 11th, 2009 at 2:24 pm | 1 Comment »

rand_logoIf you want to find out what a CMS-funded study learned about how to improve retention rates among direct service workers, you can read a report by the Rand Corporation. Or you can sign up for a free webinar next Monday.

Sarah Hunter from RAND and Laura Steighner from American Institutes for Research will present the results of the Direct Service Workforce Demonstration grants on November 16 at 2:30 p.m. Eastern time. The webinar will be hosted by the National Direct Service Workforce Resource Center.

The Centers for Medicare and Medicaid Services awarded 10 demonstration grants in 2003 and 2004 to test the effectiveness of different workforce interventions on recruiting and retaining direct service workers. RAND’s report on their findings was published last month.

According to the report, the biggest hurdle to finding and keeping direct service workers is wages, which are too low for a job that is so challenging.

Many interventions failed because of an incomplete understanding of workers’ needs. “For example, the study found that some grantees who tried to implement health care coverage or training initiatives offered a package that did not meet the needs of the workers, thereby rendering the initiative ineffective at improving recruitment or retention,” the authors write.

Even when they failed to provide any concrete benefits, however, the attempted interventions sometimes boosted retention rates. That may mean that direct service workers are so used to being overlooked and underappreciated that they are more likely to stay when their employers make an effort to improve their jobs, even if that effort is not successful, since at least it lets them know that they are valued.

An intervention in which prospective new employees got a realistic job preview also improved outcomes, indicating that employers could reduce turnover by telling new hires more about the job before they start.

Register for the webinar

Elise Nakhnikian
Communications Director
Direct Care Alliance

My Voices Institute Experience in a Word: TEAMWORK

Posted by Alex Chuang on October 15th, 2009 at 8:36 am | 2 Comments »
D. Alex Chuang

D. Alex Chuang

T – It’s about tolerance and inclusion
E – It’s about effectiveness with less efficiency
A – It’s about Acts of Congress and the legislature
M – It’s about message crafting and staying on point
W — It’s about wages and top-line revenue
O – It’s about opening minds and wallets
R – It’s about respect with results
K – It’s about kinships and the human kindred spirit

D. Alex Chuang
Voices Institute NLP Class of 2009

New Hampshire Analyzes the Needs of—and the Need for — Home Care Workers

Posted by Elise Nakhnikian on October 8th, 2009 at 12:35 pm | 2 Comments »
From Home Care Workers: Keeping Granite Staters in Their Homes as They Age.

From Home Care Workers: Keeping Granite Staters in Their Homes as They Age.

As Terry Lynch pointed out in his most recent blog post, the popular – and federally mandated – trend of using Medicaid to pay for less nursing home care and more home care cannot continue unless states can attract and keep more home care workers. A pair of recent papers from New Hampshire looks at just what that means for the state of New Hampshire.

In Home Care Workers: Keeping Granite Staters in Their Homes as They Age, (PDF) Kristin Smith of the University of New Hampshire’s Carsey Institute profiles home care workers. The 12-page policy brief provides a demographic and economic overview of the state’s licensed nursing assistants, personal care service providers, personal care assistants (PCA), and homemakers and companions. It also discusses the implication of low pay and high turnover among direct care workers for those who rely on their services. Continue reading »

Direct Care Workers: the Foundation for Community-Based Care

Posted by Terry Lynch on October 8th, 2009 at 11:35 am | 1 Comment »
Terry Lynch

Terry Lynch

Wisconsin is one of many states establishing community-based managed care programs for older people and people with disabilities. These programs are gradually supplanting the home and community-based Medicaid waiver programs that have been the primary funding source for state alternatives to nursing home care.

As in other states, there have been long waiting lists for our Medicaid waiver programs. Many people have gone for years before being served. Many others have had no choice but to move to nursing homes, since there are no waiting lists for life in an institution.

Wisconsin is now expanding two managed care programs – Family Care and Partnership – that aim to eliminate waiting lists while helping consumers remain in their homes. Consumers who are Medicaid-eligible and at risk of nursing home placement are entitled to services in one or the other of these programs.

These programs are improving the lives of many consumers and family caregivers, but our economic crisis makes it difficult for Wisconsin to take them statewide. Meanwhile, another less visible crisis, the growing shortage of direct care workers, threatens these programs’ very survival. Continue reading »

What I Told the IOM about Direct Care Workers and Swine Flu

Posted by Jane Lipscomb on September 19th, 2009 at 12:43 am | No Comments »
Jane Lipscomb

Jane Lipscomb

If you’re a direct care worker who may be exposed to people with swine flu, you should be fitted for a respirator and use it as needed to protect against becoming infected yourself. That’s what I told an IOM panel on August 20.

In a report that was published on September 3, the Institute of Medicine (IOM) recommended that health care workers use fit-tested respirators to reduce the risk of infection from swine flu.

Testifying before the IOM panel was another opportunity to explain why direct care workers should be included in the list of essential personnel who receive this protection article. This June, I made the same case in an article I coauthored for the American Journal of Public Health. Continue reading »

Voices Institute Welcomes Another Remarkable Class

Posted by Bridget Siljander on September 10th, 2009 at 5:06 pm | 8 Comments »
Angel Saylor (R) with home care aide Kelvin Jefferson at a DCA focus group

Angel Saylor (R) with home care aide Kelvin Jefferson at a DCA focus group

The Direct Care Alliance’s signature program, the Voices Institute, is about to hold its second National Leadership Program. The week-long retreat is an intensive learning journey, and this year’s class is another remarkable group, which will surely join the pioneers from the VI inaugural class to leave its mark on the direct care worker movement. We are returning to the DeKoven Center, where the roots that were planted at the first Voices Institute National Leadership Program will again thrive.

This year, we are welcoming men and women who care for people of all ages in a variety of settings, including nursing homes, hospice, group homes, day programs, assisted living, and home- and community-based programs. Consistent with the DCA’s objectives to build a broadly inclusive movement of empowered direct care workers, the class of 2009 represents a wide spectrum of direct care workers. Continue reading »