Navigating Change at the Local Level

2015 LTSS Summit October 27, 2015

Thinking Beyond the CCI

Sandra Fitzpatrick, Executive Director

California Commission on Aging

This Session

1. Setting the context

2. Small group discussions

3. Panelist insights

4. Q and A discussion

1. The system is changing.

2. Change is complicated.

3. You have the power to make change work.

Three Main Points

Main Point #1: The System is Changing.

So. Where are the Opportunities?

California’s Coordinated Care Initiative

Managed care organization provides a defined set of LTSS in exchange for a pre-paid capitation payment.

Population: Medicaid only and duals

Medicaid Managed

LTSS Integrates range of health care and LTSS into one service package

Population: Duals only

Integration of Medicare

and Medicaid

Thinking Beyond the CCI

Opportunities

1115 Waiver Health Homes

Community-Based Care Transitions

Medicare Re-hospitalization Penalties

Main Point #2: Change is Complicated

• Change takes time

• Change requires resources

• Change requires new partnerships

• Change can be risky

You Have the Power.

Main Point #3

All Change is LOCAL.

Questions for You

• What are the major opportunities in your local area?

• What are the challenges you face?

• What do you want to get out of this session?

Senior Services Coalition of Alameda County

Wendy Peterson, Director

Ana Acton Community Living

Implementation Council – ADRC of Nevada County

Renée Dar-Khan Long-Term Services and Supports

Coalition

Riverside and San Bernardino Counties