1. © 2011 October 28, 2013 National Coalition on Mental Health & Aging Washington, DC Community Catalyst: A Partner in Action A LICE D EMBNER P ROJECT D IRECTOR

2. © 2011 About Community Catalyst © 2013 Non-profit health care advocacy organization Network of advocates in 40+ states Building advocacy infrastructure Leading broad-based issue campaigns Focus on vulnerable people of all ages Projects on dual eligible demonstrations and long-term services and supports

3. © 2013 AGENDA 1.How we work 2.Areas of focus 3.Initiatives on older adults 4.Opportunities to connect

4. © 2013 How We Work

5. Consumers Must Be Involved The best decisions are made when the people most affected have a voice. © Community Catalyst 2011

6. Our Guiding Philosophy of Change: Systems of Advocacy Usually, no one organization can move an issue You need people coming together to advocate In an advocacy system, the complementary capacities of different organizations are knit together to create a coherent whole. Advocacy is a shared task, with each participant bringing its skills to the table. © Community Catalyst 2011

7. System of Advocacy © 2013

8. Areas of Focus

9. ACA Implementation Medicaid expansion, benchmark benefits Marketplace development, operation Outreach and enrollment Hospital accountability –Care for the uninsured Dual eligible demonstrations Substance use disorders and parity –Addressing these in all the areas above © 2012

10. Beyond ACA Medicaid managed care including long- term services and supports Prescription drug access and quality Dental therapists Public health and social determinants Reducing costs and improving quality Health equity in all areas © 2012

11. © 2013 Initiatives on Older Adults

12. Dual Eligible Demonstration Projects © 2012

13. Our Voices for Better Health Project Goals Embed consumer engagement Minimize risks of managed care for consumers Maximize community-based services Better quality of life for participants More efficient system helps avoid harmful spending cuts © 2013

14. Focus on Five States © 2013

15. Behavioral Health in the Demonstrations All of the demonstrations so far include behavioral health We are examining benefits and care coordination mechanisms Massachusetts’ coalition includes mental health consumer organizations Other coalitions would welcome partners © 2012

16. Long-Term Services and Supports Improve LTSS in Medicaid managed care o Duals demonstrations and Medicaid alone Promote new opportunities for enhancing home and community-based services Advocate for integration with other care Ensure recovery supports are included © 2012

17. Putting Consumers First: Promising Practices for Medicaid Managed Long-Term Services and Supports A Seat at the Table: Consumer Engagement Strategies Essential to the Success of State Dual Eligible Demonstration Projects – Checklist: How Consumer-Focused Are Your State’s Medicaid Managed Long-Term Services and Supports? Resources at CommunityCatalyst.org © 2012

18. Partnership with Diverse Elders Coalition Providing strategic advice Providing support to coalition members Focus on Medicaid expansion, Marketplaces © 2012

19. © 2013 Opportunities to Connect

20. Partnering With Us Sign up for future papers/alerts/newsletters/blogs Ask for introductions to state groups Share petitions, comment letters Find us on the web: www.communitycatalyst.org blog.communitycatalyst.org twitter.com/healthpolicyhub www.communitycatalyst.org blog.communitycatalyst.org twitter.com/healthpolicyhub © 2012

21. Thank You ALICE DEMBNER PROJECT DIRECTOR COMMUNITY CATALYST adembner@communitycatalyst.org