« The Dual Agenda: October 15, 2015 Issue

State Highlights


The Michigan Department of Health and Human Services (DHHS) has a new enrollment dashboard for the MI Health Link dual eligible demonstration project. The dashboard provides a breakdown of total enrollment by region, by age groups, and by care setting. As of October 2015, there are 37,075 enrollees in the demonstration, with 54 percent of enrollees in Wayne County.

In other news, Michigan DHHS will host a regional forum on October 20 in the Upper Peninsula to share the latest on the MI Health Link demonstration.

New York

The NY Department of Health and CMS hosted a stakeholder forum  September 29 and discussed the future of managed long-term care and New York’s dual eligible demonstration project, the Fully Integrated Duals Advantage (FIDA) program. As part of the forum, the state released a white paper with draft ideas for modifications to FIDA. The Coalition to Protect the Rights of New York’s Dually Eligible  submitted comments to the proposals presented in the white paper. Their comments focused on the following key areas: Interdisciplinary Team (IDT), marketing guidelines, enrollment, services and provider networks.

In other news, The Independent Consumer Advocacy Network (ICAN), New York’s ombudsman program for the FIDA program, launched a new website. ICAN is a Health Initiative of the Community Service Society of New York (CSS). ICAN consists of staff at CSS, as well as a network of other nonprofit organizations around New York state, including lead Voices for Better Health grantee, the Medicare Rights Center.


A recent blog by UHCAN Ohio, lead organization of the Ohio Consumer Voices for Integrated Care [LS1] coalition, highlights the results of a consumer survey of MyCare Ohio enrollees to determine whether the program is living up to its promise to improve the way older adults and people with disabilities receive their care, improve their quality of life, and reduce avoidable spending. Key findings from the survey revealed a number of issues related to care coordination, such as:

  1. 71 percent of the members believe they have a care manager (CM); however, 50percent have never been able to reach their CM when needed. 29 percent say they do not have a CM.
  2. 45 percent have never had an assessment.
  3. 61 percent were not included in their care planning process.
  4. 63 percent indicated their care plan did not include services, supplies, and equipment the member needed.
  5. 67 percent indicated their care team did not include their providers, friends, or family.


Subscribe to

The Dual Agenda Newsletter

Support Our Work: