Fall 2013
Care Management and the Affordable Care Act (ACA) The Possibilities, The Realities, and The Concerns

Guest Editor’s Message

Carol S. Heape, MSW, CMC, Fellow “The Patient Protection and Affordable Care Act (ACA) is the most significant health- care legislation enacted since the passage of Medicare and Medicaid forty-five years ago. The new law’s full implications will not be known for years…” 1 The Affordable Care Act (ACA) is in the news almost daily…

Care Coordination Under the Affordable Care Act: Opportunities and Challenges for Geriatric Care Managers

Susan Emmer, Esq. Summary The Affordable Care Act (ACA) established multiple care coordination demonstrations, pilots, and programs premised on quality and patient-centeredness. This article describes the circumstances preceding enactment of the ACA, summarizes several of the new care coordination elements of the law, and explains the benefits and risks for the geriatric care manager community…

A CLASS Act—Development until the Aftermath of its Demise

Regina M. Curran, MA, CMC Geriatric care managers work with clients who are facing the challenges of aging. For each client, the geriatric care manager develops an individualized care plan which considers the client’s abilities, lifestyle preferences, and financial resources. The care plan must recognize that as time passes, the client’s needs will change—and include…

The Affordable Care Act and Its Impact on Care Management

Eric C. Rackow, MD Claudia Fine, LSCW, MPH, CMC Executive Summary The Patient Protection and Affordable Care Act (ACA), signed into law in March 2010, mandates widespread coverage of health benefits. Many recognize that to meet the cost of universal cover­age, the most expensive, most com­plex care must be better managed. There is growing recognition…

Beware of What You Wish for OR The Affordable Care Act and Me

Phyllis Mensh Brostoff, CISW, ACSW, CMC “To follow what’s happen­ing with the new health care law right now, you have to understand that for all the deep divisions on the issue, there’s actually a real bipartisan con­sensus about how the American health care system ought to be reformed. Or rather, there are two of them…

Effects on Medicare Clients & the Affordable Care Act (ACA)

Carol S. Heape, MSW, CMC, Fellow “The ACA’s elements were also so numerous that the media and local service network executives rarely understood what was in there. Many still don’t. As a result, most people were uncomfortable with any part of the topic, and rather than discussing it as objectively as possible, they simply said…