Managed Care: Ethical Topic in Medicine. An increasing amount of health care in the United States is administered though managed care plans.
The phrase "managed care" evokes strong, often negative reactions from health care providers. Yet it is important to have an explicit understanding of managed care and particular types of potential ethical dilemmas that arise for health care providers in such systems. What is "managed" care? Managed care refers to a variety of techniques for influencing the clinical behavior of health care providers and/or patients, often by integrating the payment and delivery of health care. Blogs.chicagotribune.com/files/lewinmedicaid.pdf. NY Autistic Programs, Resources for Adults, Columbia County, NY. The 2009 Interagency Autism Coordinating Committee Strategic Plan for Autism Spectrum Disorder Research - January 26, 2009. Introduction Two decades ago, autism was a little known, uncommon disorder.
Today, with prevalence estimates increasing at an alarming pace, autism is emerging as a national health emergency. Autism is now recognized as a group of syndromes denoted as autism spectrum disorder (ASD). The most recent Centers for Disease Control and Prevention (CDC) prevalence estimates of ASD for children are 6.7 per 1,000 (1 in 150) (CDC, 2007). These estimates, more than ten-fold higher than two decades ago, raise several urgent questions: Why has there been such an increase in prevalence? Approaches to ASD diagnosis have evolved as more has been learned about the disorder.
The cost of ASD to affected people, families, and society is enormous. It is imperative that resources be devoted to research commensurate with the public health need. Www.cahi.org/cahi_contents/resources/pdf/n152AutismTrend.pdf. Www.autismvotes.org/atf/cf/%7B2A179B73-96E2-44C3-8816-1B1C0BE5334B%7D/CAHI - March 2009.pdf. Autism Legislation Database. New York - **Autism Votes ** Www.autismvotes.org/atf/cf/%7B2A179B73-96E2-44C3-8816-1B1C0BE5334B%7D/NY Law One Page Summary.pdf. Www.autismvotes.org/atf/cf/%7B2A179B73-96E2-44C3-8816-1B1C0BE5334B%7D/New York Fact sheet on BD report FF.pdf.
Center - University at Albany - SUNY - Www.autismvotes.org/atf/cf/%7B2A179B73-96E2-44C3-8816-1B1C0BE5334B%7D/Connecticut_FAQs.pdf. Autism Speaks. Medicaid Home-and-Community-Based Waiver Programs in New York State - New York Health Access. Advocates Guide to Medicaid Long Term Services and Supports Medicaid home and community-based services [HCBS] are available through waiver programs to groups of individuals who would be eligible for Medicaid if institutionalized and, but for the services, would be institutionalized in a hospital or nursing facility.
Under section 1915(c) of the Social Security Act, the federal government grants waivers of requirements that are otherwise applicable to Medicaid “state plan” services. Congress enacted section 1915(c) of the Social Security Act in the Omnibus Reconciliation Act (OBRA) of 1981. Until then, comprehensive long-term care services through Medicaid were available only in institutional settings. In waiver programs, CMS waives key requirements that apply to Medicaid “state plan” services – those provided to all Medicaid recipients in the state.
Waivers have grown nationally with the momentum to “rebalance” long term care services from institutional care to care in the communities. Features -Birth Defects Findings - NCBDDD. Skip directly to search Skip directly to A to Z list Skip directly to site content CDC Home CDC 24/7: Saving Lives.
Protecting People. Home « Adirondack Region Medical Home Pilot. Careers.pdf. Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State - New York Health Access. Another special benefit of CDPAP is that CDPAP aides may perform "skilled" care that otherwise may only be performed by a nurse - suctioning tracheostomies, insulin injections, administration of oxygen or medications where the consumer cannot self-administer.
All counties are required to have a CDPAP program and notify “eligible individuals” of the option to join. Eligible individuals include those eligible for services provided by a certified home health agency, a long term home health care (waiver) program, AIDS home care program, or personal care (home attendant). Here is a list of the CDPAP programs in NYS by county (updated May 2012). You do NOT apply directly with these organizations for these services, though. Application process is through the local County's Department of Social Services - generally the same office that processes Medicaid personal care applications (in NYC, through the CASA offices ). More young U.S. adults live with parents: study. Rush Autism Resource Center. Autism and Insurance Coverage State Laws. December 2015 The Centers for Disease Control and Prevention (CDC) estimate that an average of one in 68 children have an autism spectrum disorder (ASD).
More children than ever before are being classified as having autism spectrum disorders. There is no cure for autism, but it is a treatable condition. Most health professionals agree that early intervention treatment programs are important. Treatment options may include behavioral and educational interventions, complementary and alternative medicine, dietary changes or medications to manage or relieve the symptoms of autism. Some states require insurers to provide coverage for the treatment of autism. Several states enacted legislation in 2015 addressing mandated autism coverage including: Colorado, Georgia, Kansas, Missouri, South Dakota, Virginia and Washington.
Autism Policy Issues Overview. January 2012 NCSL Autism Legislation Database (Archive) Search 2008, 2009, 2010, 2011 and 2012 legislation by state, topic, key word, year, status or primary sponsor.
Autism is an autism spectrum disorder (ASD), which causes developmental disabilities and numerous social, behavioral and physical challenges. Individuals with ASDs often display unusual behaviors and interests, unusual ways of learning and paying attention, and impaired verbal and non-verbal communication skills. In addition to these behavioral symptoms, individuals with autism will often have physical ailments such as asthma, digestive disorders, persistent viral infections and epilepsy. Signs and symptoms of ASDs begin before age three and last throughout life. Significant debate exists over the causes of autism. Several federal actions have been taken in response to the rising rates of autism. In response to the growing number of individuals with autism, states have taken action to address the needs of these individuals.
Autism Individual Market.