PHCA/CALM: State needs measured approach toward long-term care model
Pointing out that 25 states already have activated managed care under Medicaid for citizens requiring long-term care, PHCA/CALM CEO Dr. Stuart Shapiro said the state should proceed carefully before expanding the program statewide, cautioning that each state has different needs and resources.
“Pennsylvania should…test various MLTSS (Medicaid-managed long-term services and supports) models to determine whether care improvements and savings can be expected,” Shapiro said. “We need to develop Pennsylvania-specific data that show the elderly and disability communities are not hurt by MLTSS and that any program the state implements will actually save the state money before dismantling the current system we have.”
Shapiro served on the state’s Long-Term Care Commission (LTCC), which originally recommended that the Commonwealth adopt MLTSS only as a pilot project at first until the state demonstrates positive health outcomes and savings. Shapiro also said the state should consider options that include Medicare and Medicaid funds.
“We look forward to working with the administration and the Legislature to ensure that any expansion of MLTSS is phased in to assure that it improves care and outcomes for consumers, and continues to focus our tax dollars toward care for vulnerable Pennsylvanians, rather than the bottom line of large multi-state insurance companies,” Shapiro said. “We should all share the same goal, which is real objective data that will prove that Pennsylvania’s plans are person-centered and cost-effective, and that consumer care is protected.”