{"id":2422,"date":"2021-01-16T13:04:10","date_gmt":"2021-01-16T18:04:10","guid":{"rendered":"https:\/\/multi.nycnewsnetwork.com\/healthynyc\/managed-long-term-care-plans-are-denying-seniors-care-why-are-mltcps-putting-profits-before-people\/"},"modified":"2021-01-16T13:04:10","modified_gmt":"2021-01-16T18:04:10","slug":"managed-long-term-care-plans-are-denying-seniors-care-why-are-mltcps-putting-profits-before-people","status":"publish","type":"post","link":"https:\/\/nycnewsnetwork.com\/healthynyc\/managed-long-term-care-plans-are-denying-seniors-care-why-are-mltcps-putting-profits-before-people\/","title":{"rendered":"Managed Long-Term Care Plans Are Denying Seniors Care. Why are MLTCPs putting profits before people?"},"content":{"rendered":"

OpEd By Victoria Milo, Coalition of New York City Social Adult Day Cares<\/strong><\/em><\/p>\n

Almost a year into the coronavirus pandemic, and New York City\u2019s social adult day care centers are still working overtime to ensure the well-being of our city\u2019s most vulnerable populations\u2014with zero support from New York State, and often on their own dime.<\/p>\n

Managed Long-Term Care Plans\u2014insurance providers also known as MLTCPs\u2014are refusing to properly reimburse the centers taking care of New York\u2019s at-risk populations. By refusing to cover the care, and paying just 20-50% of the agreed-upon, contractual rate for daily services, MLTCPs are proving they don\u2019t care about New York\u2019s neediest, while still collecting thousands a month from Medicaid for each participant.<\/p>\n

If Medicaid funds are not going to care for these older adults, who are often needy and survive on public assistance, where are the funds going? MLTCPs owe New York City\u2019s social adult day care participants, adult day care centers and the general public an explanation.<\/p>\n

Furthermore, according to members of the Coalition of New York City Social Adult Day Cares, the MLTCPs have never been more disorganized\u2014 asking in some cases to resubmit documentation six or seven times for minor issues. The centers cannot survive with insufficient payments.<\/p>\n

The Coalition of New York City Social Adult Day Cares<\/a> comprises 56 adult day care center owners that serve and care for New York\u2019s older adult population including over 11,000 mentally, physically and functionally-impaired seniors and older adults across every language, ethnicity and cultural background.<\/p>\n

Telecare plays an incredibly important role during these unprecedented times\u2014 from meal delivery, wellness check-ins, medication drop-off and oversight, creative activities, and most importantly, socialization\u2014to people who are often isolated and alone.<\/p>\n

With the coronavirus pandemic raging on, and with public spaces closed by state order, adult day care centers are still providing critical daily services to their members via telecare. This means participants receive daily contact with people they know, in some cases for years.<\/p>\n

While all are welcome, many seniors and older adults have found a true \u201chome\u201d at their social adult day care center, as each center caters to New York\u2019s diverse communities\u2014from activities and food to programs and languages spoken\u2014and often report their centers feel like home. \u00a0For some older adults, this daily connection to their home center can mean the difference between surviving, or not.<\/p>\n

Social adult day care center founders are often hardworking independent business owners who opened their center with a vision to help the needy in their communities\u2014and working with slim profit margins.\u00a0 Currently operating on their own dime, center owners will be forced to shut down their centers if proper reimbursements are not delivered immediately.\u00a0 It is anyone\u2019s guess what will happen to the thousands of at-risk, older individuals who rely on centers as a lifeline.<\/p>\n

Reduced and rejected insurance reimbursements are preventing NYC\u2019s social adult day cares from continuing care\u2014and are at risk of closing. Whether it\u2019s greed, corruption, or simply incompetence, MLTCPs have had zero oversight or consequences for their actions from New York\u2019s governing bodies, including Department For the Aging and Department of Health.\u00a0 New York State needs to take immediate action to ensure that MLTCPs are reimbursing Centers fully and fairly\u2014who are caring for those in need during this critical time.<\/p>\n

Subscribe to New York for Seniors<\/strong><\/a> for updates on Adult Day Services, MLTC, Home Care and more.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

OpEd By Victoria Milo, Coalition of New York City Social Adult Day Cares Almost a year into the coronavirus pandemic, and New York City\u2019s social adult day care centers are still working overtime to ensure the well-being of our city\u2019s most vulnerable populations\u2014with zero support from New York State, and often on their own dime. […]<\/p>\n","protected":false},"author":5780,"featured_media":2423,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-2422","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-retirement-plan-nyc"],"yoast_head":"\nManaged Long-Term Care Plans Are Denying Seniors Care. 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