CFC Leaders Meet with DSS

CFC Leaders Meet with DSS

Caring Families Coalition Leaders Press DSS to Solve Redetermination and Communications Problems

 

Leaders of the Caring Families Coalition (CFC) met with Astread Ferron-Poole, Director of Administration,  Lisa Wells, Operations Manager, Albert Williams, Operations Manager, and David Dearborn, Communications Director, from the Department of Socials Services (DSS) today (11/14/13) to press for automatic redetermination renewals until such time as DSS can solve their internal problems. CFC leaders told stories of people receiving cutoff notices from DSS even though the paperwork for redetermination had been sent in.

DSS officials acknowledged the problem and stated that people who have sent in the paperwork will not be cut off even if they have received a cutoff notice as long as the paper work was submitted and there has been no change in their status.

Angela Lewis-Shakes, CFC Co-Chair, detailed the problems people were having trying to use the new phone system, Connect. People whose phones have limited minutes were using up all of their monthly minutes while on hold waiting to talk to DSS. It is common for people to have to wait for hours before their calls are answered.  Angela stated that the new system is worse than the old system.

DSS officials agreed that the current experience of people trying to contact DSS by phone was unacceptable. Astread Ferron-Poole told CFC leaders that DSS would meet with the contractor for the phone system to correct the problems of people having to wait on the phone and people being cut off while on hold. She promised that the phone system will eventually work perfectly.

CFC leaders and DSS officials agreed to review progress on these and other issues in a meeting to be scheduled.

Health Care Alert

Health Care Alert

Have you heard of SIM (State Innovation Model)? SIM is CT’s plan to transform our health care system by changing how care is delivered and how care is paid for.

What is SIM? The proposed payment model is called Total Cost of Care (TCC). It gives providers financial control over each patient’s care, in that primary care providers will get paid more if they reduce the total cost of care of their own patients, in order to encourage that result. The specific payment methods for doing this set forth in the plan include:

Shared Savings: Providers who save money on their patients care will share in the savings.
Downside risk: Providers lose money if their patients end up costing more than what is expected or estimated.

Will this impact me? Yes, SIM is meant to reform healthcare for every state resident whether you are on Medicare, Medicaid, state insurance exchange coverage, private employer insurance, public employees, etc… EVERYONE.

Why haven’t I heard of it before? The plan was developed by a SIM steering committee and three workgroups, but there were no independent consumer advocates on these groups. Meetings were held with little or no notice to the public.

Can I give input now? A SIM draft has been compiled and is posted on the Office of the Healthcare Advocate website or The CT Health Reform & Innovation site.

You can provide input about the SIM draft in writing by emailing: sim@ct.gov.
You can also contact the Lieutenant Governor Nancy Wyman by phone and share any concerns. (860) 524-7384 or (866) 712-6998

Feedback on the draft must be provided by November 26, 2013.

What needs to happen moving forward? To ‘do no harm,’ the Caring Families Coalition (CFC) recommends that the plan be amended to clearly include each of these elements:

  • Providers found to have denied or restricted access to necessary care need to be prohibited from receiving shared savings or other financial rewards
  • The system to measure and sanction under-treatment needs to be in place before any provider incentives are implemented
  • Quality measures of under-treatment, including inappropriate denials or limitations on care or avoidance of expensive patients, needs to be developed by an inclusive committee with significant independent consumer advocacy membership
  • Independent consumer advocates need to be immediately added in meaningful numbers, before the plan is finalized, to all SIM committees.
  • All decisions about the SIM plan need to be reached in a transparent way, using a public process based on significant public input
  • As in the first SIM plan draft, downside risk payment models need to be excluded in the Medicaid program.

Act Now! The end of November is approaching quickly. Make your voice heard by sharing your feedback with calls or emails. If you have questions please call Alta at 860-524-0502. Thank you.

Get Involved Today!

Get Involved Today!

Our community goes to the State Capitol, talks to the legislators and influences the process of policy making on health care issues.

We also hold meeting with state administrators (i.e.the Department of Social Services) to address  issues of concern.

Our members understand and believe the words of social justice artist Ricardo Levin Morales, who said, “Nothing about us, without us, is for us.” and actively participate in civic engagement year round to ensure that the laws that directly affect us, include us, and that our voices and our needs and demands are heard.

GET INVOLVED TODAY! Make a difference. Contact us at 860-524-0502 to find out how.

Training

Training

CFC provides its members with educational materials, trainings, and guidance in advocacy efforts.

Some of our trainings include:

  • Community Organizing 101
  • How a bill becomes a law
  • Understanding how healthcare is funded
  • Understanding how the legislature works and how to influence the process
  • Telling your story
  • And many more…

CFC Advocacy

CFC Advocacy

Our community goes to the State Capitol, talks to the legislators and influences the process of policy making on health care issues.

We also hold meeting with state administrators (i.e.the Department of Social Services) to address  issues of concern.

Our members understand and believe the words of social justice artist Ricardo Levin Morales, who said, “Nothing about us, without us, is for us.” and actively participate in civic engagement year round to ensure that the laws that directly affect us, include us, and that our voices and our needs and demands are heard.