Home care contractor gears up for contentious transition

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Dec 09, 2024 View in browser
 
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By Maya Kaufman

Beat Memo

The company tasked with consolidating a popular Medicaid home care program is going full steam ahead.

Public Partnerships LLC — a financial services company tapped by the Hochul administration to oversee the state’s $9 billion consumer-directed personal assistance program — faces an April 1 deadline to transition about 250,000 enrollees and their in-home assistants to its system.

The company has already started laying the groundwork, hiring 1,200 New York-based employees and enlisting two dozen subcontractors to work on the whopping transition effort.

The transition itself is slated to kick off on Jan. 6, starting the clock for personal assistants to complete a host of trainings and forms.

CDPAP participants will have until March 28 to make the change, either by calling PPL directly or visiting the company’s website.

Post-transition, consumers will use the company’s app to submit timesheets, and personal assistants will receive their paychecks and benefits from PPL.

PPL executives say they will offer personal assistants "competitive” compensation and benefits based on the consumer’s geographic region, but it’s not yet clear what those are. More information will be provided starting in January, according to the company.

IN OTHER NEWS:

New Yorkers suffering “extraordinary” job-related stress now have an easier pathway to file for workers’ compensation, thanks to a bill signed into law by Gov. Kathy Hochul on Friday.

The legislation, which was sponsored by state Sen. Jessica Ramos and Assemblymember Karines Reyes, enables any worker in the state to file a claim for post-traumatic stress disorder, acute stress disorder or major depressive disorder arising from an on-the-job incident.

Previously, the state Workers Compensation Board could bar such claims when the stress was deemed “not greater than that which usually occurs in the normal work environment” — a standard that state lawmakers nixed in 2017 for first responders.

“It is time for our state to recognize that productivity requires the safety and security of the mind, equal to that of the body,” Reyes said in a statement. “This new law will ensure that our state’s social safety net addresses the challenges that employees face in the 21st Century economy.”

MAKING ROUNDS:

Jorge Rivera-Agosto was appointed special adviser to the New York state Medicaid director. He previously served as the state Senate’s assistant deputy counsel for health, mental health, and insurance.

Thomas Stokes was named chief financial officer and vice president for finance of Weill Cornell Medicine, after serving in those roles in an interim capacity since October 2023.

Hospital for Special Surgery appointed Christopher Dunleavy as executive vice president and chief financial officer, effective Jan. 2. Current CFO Stacey Malakoff, who is retiring, will support the transition as senior adviser until Dec. 31, 2025.

GOT TIPS? Send story ideas and feedback to Maya Kaufman at mkaufman@politico.com and Katelyn Cordero at kcordero@politico.com.

 

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What you may have missed

Anthem Blue Cross Blue Shield last week called off plans to cap anesthesia payments for patients in New York and two other states after widespread outrage, including from Gov. Kathy Hochul.

The health insurer had previously announced that, starting Feb. 1, it would not cover anesthesia services lasting longer than expected for a given surgery.

State Sen. Gustavo Rivera, who chairs his chamber’s health committee, responded by introducing legislation Friday that would require health insurers to cover anesthesia for the full duration of a medical procedure.

“The business model of insurance companies is to deny you care, not provide you care,” Rivera said in an interview, calling the Anthem policy “appalling.”

Odds and Ends

NOW WE KNOW — Major health insurers are removing leadership pages and photos from their websites after the slaying of UnitedHealthcare’s CEO.

TODAY’S TIP — An illustrated guide to properly brushing your teeth.

STUDY THIS — Via STAT: Patients from disadvantaged areas are less likely to receive a bone marrow transplant and likelier to die without one.

What We're Reading

Trump suggests he shares some of RFK Jr.’s concerns about childhood vaccines. (STAT)

Fraud and fakery at the country’s largest chain of methadone clinics. (The New York Times)

Wuhan lab samples hold no close relatives to the virus behind Covid. (Nature)

Around POLITICO

NYC Aging leader pushed real estate deal now under investigation, Maya Kaufman and Joe Anuta report.

Democrats counter GOP end-of-year health offer, David Lim, Robert King and Ben Leonard report.

Via Rachel Bluth and Marcia Brown: Head of a celebrity-friendly raw milk brand says its recall is political. He may soon have an FDA role.

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