Program Details

Medicaid: Current Issues and Implications

Content Partner:  Boston Bar Association
Price: $155.00*
Member Price:  $125.00
This program is no longer available.

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Several recent high-profile court decisions, including Douglas v. Independent Living Centers of Southern California, Inc. by the U.S. Supreme Court and Finch v. Commonwealth Health Insurance Connector Authority by the Massachusetts Supreme Judicial Court, have altered the landscape for Medicaid and Connector Care providers and beneficiaries.  Additionally, the Commonwealth is seeking federal approval for a Demonstration Project that will impact the way care is delivered to Medicare/Medicaid Dual Eligibles.  This initiative will complement several other health plan options available to dual eligible beneficiaries in Massachusetts.

Attend this program to stay updated on the current Medicaid issues. An expert panel will address a broad range of topics including significant obstacles facing providers and beneficiaries, Medicare/Medicaid Duel Eligibles and Implications arising from the Finch decision. 

Specific Topics:

  • Significant obstacles faced by providers and beneficiaries who seek standing to sue a state Medicaid director for enforcement of the Medicaid Act.  Douglas raises the question of whether the federal court provides any viable means of relief to an aggrieved provider or beneficiary.
  • Medicare/Medicaid Dual Eligibles (¡¡±MDEs¡¨).  The 9.2 million MDEs nationwide account for 40% of total Medicare/Medicaid cost.  With 80% of their funding coming from the federal government, it is no wonder that they are the subject of several initiatives to better coordinate their health care and, in turn, potentially achieve health care savings.  This seminar will discuss an innovative Demonstration Project submitted for approval by the Commonwealth, under which the MDE funding would be combined and MassHealth would contract with entities to provide a broader menu of services under an Integrated Care model.  This initiative will complement other health plans in Massachusetts for dual eligible beneficiaries.  In addition, the federal Centers for Medicare & Medicaid Services has recently issued a proposed rule that is designed to better preserve home and community based options for all Medicaid beneficiaries, including MDEs.
  • Implications arising from the Finch decision, which held that legal immigrants could not be excluded from Commonwealth Connector programs based solely upon their alienage.  Specific focus will be given to the intersection between the Finch decision and certain policy issues, such as tax credits and the operation of Exchanges, embodied in the federal Affordable Care Act, and the impact that the U.S. Supreme Court decision may have on these issues.

Sponsoring Section/Committee(s):

Health Law Section

Thomas Barker
Foley Hoag LLP

Lorianne M. Sainsbury-Wong
Litigation Director
Health Law Advocates, Inc.

Joel K. Goloskie
Deputy General Counsel/ Director of Compliance, Privacy & Ethics
CharterCARE Health Partners

William E. O'Gara
Pannone Lopes Devereaux & West LLC

Ara Beth Gershengorn
Foley Hoag LLP

Lauren Guth Barnes
Hagens Berman Sobol Shapiro LLP

Practice Areas: Healthcare & Pharmaceutical Law
Online Media Type: Video
Production Date: 07/12/2012 4:00 PM EDT
Level: Intermediate
Category: Standard
Duration: 3 Hours, 0 Minutes
Online Format: Live

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Purchase of this product provides online access for 180 days. If you are purchasing a live webcast, you will receive complimentary access to the on demand version for 180 days once it becomes available. Please note that the on demand and podcast versions may, or may not be accredited in your state.

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Total Credits: 2.75
Specialty Credits: 
Status: Reciprocal Credit Available
Expiration: N/A
Training Type: Online

West LegalEdcenter provides accreditation as described here. You may be able to self apply for credits in states not listed.

Check your state requirements and get contact information.
Thomas R. Barker - Partner, Foley Hoag LLP
Ara Beth Gershengorn - Foley Hoag LLP
Lorianne Sainsbury-Wong - Litigation Director, Health Law Advocates, Inc.
Joel K. Goloskie - Deputy General Counsel / Director of Compliance, Privacy & Ethics, CharterCARE Health Partners
William E. O'Gara - Pannone Lopes Devereaux & West LLC
Lauren Guth Barnes - Hagens Berman Sobol Shapiro LLP
This product is designed to provide information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional service. If legal advice or other expert assistance is required, the services of a competent professional person should be sought.

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