Wednesday, October 17, 2007

Justice Partnership Conference on Low Income Elderly

FORGOTTEN AMERICANS:
THE FUTURE OF SUPPORT FOR LOW-INCOME OLDER ADULTS

October 19, 2007

Barbara Jordan Conference Center * Kaiser Family Foundation, Washington, DC

8:00 - 9:00 a.m.    Registration

9:00 - 9:15 a.m. Welcome       Michael Kelly & Judith Stein
            National Senior Citizens Law Center & Center for Medicare Advocacy

9:15 - 10:45 a.m.  Is the Social Safety Net for Low Income Older People in the U.S Unraveling, Or Likely to Come Unraveled for the Next Generation? 
    MODERATOR: Michael Kelly

This presentation assesses the current safety net for older Americans and provides a framework for estimating the extent to which it faces deterioration in the future. Our ability to predict the future of low-income elders in the coming decades has important implications for the future of Social Security, Medicaid and Medicare.  The decline or demise of the traditional defined-benefit pension and the relentless escalation in health care costs as a percent of personal budgets are two phenomena amongst, perhaps, many more that affect low-income people in particular.  Do these two phenomena suggest that the low-income portion of the growing cohort of U.S. elderly will enlarge significantly, regardless of the uncertain fiscal and political futures of both Medicaid and Medicare? 

Demographic Trends Among Low-Income Older Americans: Analysis And Implications
PRESENTERS:  Tricia Neuman, Kaiser Family Foundation (15 minutes) Marilyn Moon, American Institutes for Research
COMMENTATORS:  Robert Greenstein, Center on Budget and Policy Priorities AUDIENCE PARTICIPATION

10:45 - 11:00 a.m.         BREAK

11:00 - 2:30 p.m.  What Are The Appropriate And Most Efficient Roles For the Public and Private Sectors In Implementation Of Social Policy For Older People? 
    MODERATOR:  Judith Stein

The second segment of the conference focuses on discussing the relative roles for public and private sectors in the implementation of social policy for older Americans. Participants have a rich set of experiences and knowledge with the issues in altering the financing of Social Security and in the lessons learned from government outsourcing to private Medicaid and Medicare private plans.  What are the criteria, or the relative merits, or the appropriate conditions for deployment of private and public means of providing public benefits to low income people? Participants will review how best to understand the role and value of "choice" in relation to social policy for people of modest means.

11:00 - Noon     Part I:  Lessons Learned From Administering Public-Private Delivery Systems
PRESENTER: Bruce Vladeck, former Administrator of HCFA (CMS); now interim president of the University of Medicine and Dentistry of New Jersey (30 minutes) AUDIENCE PARTICIPATION

Noon-1:00 p.m.          LUNCH

1:00-2:30 p.m.     Part II: Issues in Public and Private Sector Implementation of Health and Income Programs     PRESENTER:  Theodore Marmor, Yale University (30 minutes)
COMMENTATORS: Barbara Kennelly, National Committee to Preserve Social Security & Medicare
    Vicki Gottlich, Center for Medicare Advocacy; Kevin Prindiville, National Senior Citizens Law Center; Bruce Vladeck

     AUDIENCE PARTICIPATION

2:30- 2:45 p.m.        BREAK

2:45-4:15 p.m.  What is the Role of the Courts and of Advocates in the Realization of Social Policy for Low-income Older People? 
    MODERATOR:  Michael Kelly

The third segment of the conference is an effort to identify and highlight the critical role of advocates and the courts in working or weeding out legislative and administrative ambiguities and/or misinterpretations of social policy for the older people in the United States. The natural reluctance of people in and outside of government to deal with the legal and administrative complexities of social policy implementation has led analysts and policy makers to under-appreciate how significant a role courts play in the system.  This segment will focus on the impact of advocacy on the implementation of safety net programs and the role of the courts and the way in which changing legal doctrines in the federal courts have come to affect the implementation of Medicaid, Medicare, and other social programs.

PRESENTER:  Simon Lazarus, National Senior Citizens Law Center
COMMENTATORS: Tim Jost, Washington and Lee University Law School; Sally Hart & Gill Deford, Center for Medicare Advocacy; Gerald McIntyre, National Senior Citizens Law Center
    AUDIENCE PARTICIPATION

4:15-5:00 p.m.    Wrap-up and Next Steps
MODERATORS:  Michael Kelly and Judith Stein

5:00-6:30 p.m.    Reception

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