WHY NORTH CAROLINA SHOULD HAVE A “CAF”

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Presentation transcript:

WHY NORTH CAROLINA SHOULD HAVE A “CAF” Howard A. Rosenblum, Esq. NAD CEO & Legal Director April 5, 2019

Doctor’s Offices and Hospitals do not provide interpreters Basic Problem Doctor’s Offices and Hospitals do not provide interpreters If provided, issues with qualifications VRI usage excessive and detrimental Low incidence of Deaf patients and high medical staff turnovers make trainings an unrealistic solution

Impact on Doctor-Patient Relationship Deaf individuals seeking interpreters encounter resistance Doctor-Patient relationship starts off already soured Medical care is delayed and/or provided without proper communications

Optimal Solutions? Remove upfront cost considerations from doctor-patient relationship Eliminate confusion about interpreter qualifications Eliminate need to worry about missed appointments Retain legal responsibility for provision of effective communications

Can Insurance Solve This Problem? Medicaid approach: some states now require interpreter coverage Only covers those who are on Medicaid Currently rejects reimbursement for missed appointments Private insurance coverage – would require new state law Will not resolve interpreter qualification and coordination issue

Hospitals & Doctor’s Offices Hospitals and doctor’s offices require different approaches Hospitals tend to have funds, but are 24/7 and need to be able to provide effective communication at any time Doctor’s offices tend to resist finding truly qualified interpreters and paying the necessary cost

Hospital Models Certain hospital networks have a centralized funding model to cover interpreters for all departments Some have staff to coordinate Requires protocol including interpreter contracts Twin Cities Hospital Consortium Joint funding from area hospitals to retain on-call interpreters 24/7

Doctor’s Offices - CAF Communication Access Funds – removes the barrier between patient and doctor Perpetual funding by doctors’ license fees Oversight/coverage of quality assurance, travel costs, & missed appointments Cost-benefit analysis: Now: 1 appointment for 1 patient ≈ $200 CAF: Unlimited appts/patients ≈ $50/year

QUESTIONS? ???