Laura Colbert of Georgians for a Healthy Future said the Medicaid waiver plan “will not work for the large majority of low-income people in the state.” She described the waiver…
Sherry is 77 years old and lives independently in Murray County in north Georgia. She gets up five days a week at 5 am and prepares for her day, which begins with a bus ride to the RossWoods Adult Day Center. Medicaid and Medicare make it possible to spend her weekdays at RossWoods where she engages in arts and crafts and social activities designed to keep her brain and body healthy. She also receives information about her medications and doctor’s appointments. Sherry is one of over half a million seniors and people with disabilities in Georgia who depend on Medicaid and Medicare to live and function in their communities.
Sherry has several health conditions including high blood pressure, a blood clot in her heart, chronic obstructive pulmonary disorder, a pacemaker, and arthritis in one of her legs. On top of all that, she recently fell and broke her wrist, causing nerve damage. Thanks to Medicaid, Sherry is able to afford the medications she needs to live a functional and healthy life. She would not have the financial means to pay the standard $30–$50 copay for each of her seven medications but Medicaid means she pays just $1.20 per medication instead.
To get to the pharmacy for her medications, doctors’ appointments and RossWoods, a type of Medicaid called the Community Care Services Program (CCSP) waiver provides Sherry with transportation. CCSP waivers provide “community-based social, health and support services to eligible consumers as an alternative to placement in a nursing home.” When asked about her Medicaid coverage, Sherry said: “I couldn’t make it if I didn’t have [Medicaid]. There would be no way.”
For 168,000 seniors like Sherry who typically live on low, fixed incomes, Medicaid makes the difference and helps to pay the costs of their Medicare coverage. For some, it provides additional health benefits not covered through Medicare. For others, Medicaid allows them to age with dignity in their communities by covering needed home and living adaptations like chair lifts, wheelchair ramps, or engaging day programs with trained staff.
As we continue to celebrate the 1 year anniversary of the Affordable Care Act, we look to the changes that affect senior citizens and highlight how far we’ve come in just one year. One of the first provisions to take effect under the new law was the beginning of the closing of the Medicare donut hole. (more…)
By Mike King
The current controversy over closing Grady Memorial Hospital’s outpatient kidney dialysis clinic is indicative of more than just the struggling Atlanta hospital’s hard choices about what services it can afford to make available for the region’s poor and uninsured.
While much of the focus on the closing has centered on what to do about the illegal immigrants who depend on Grady’s dialysis unit, the pathology of the problem lies within flaws in the nation’s complicated and – at times nonsensical – policies for covering end-stage kidney disease.
To fully understand Grady’s dilemma, it helps to understand how we got here and why we’re stuck now.