Bryan Marcou-O'Malley
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bromalley.bsky.social
Bryan Marcou-O'Malley
@bromalley.bsky.social
180 followers 260 following 70 posts
Husband. Father. Disability advocate. Kids soccer coach. Music lover. #ProtectHomeCare

Opinions are mine.

Reposting is not an endorsement.
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bromalley.bsky.social
Lots of new analysis on NY's #CDPAP & it's impact. An infographic from HR&A Advisors here that shows @govkathyhochul.bsky.social changes are dangerous & run counter to an equity agenda.

#ProtectHomeCare
Header: NY's Consumer Directed Personal Assistance Program (CDPAP) empowers New Yorkers to self-direct their home health care. CDPAP is supported by Fiscal Intermediaries: community-based champions of home health care, with deep roots in the state's communities. The Program supports the state's growing population of older adults by providing long-term care assistance needed to age in place as well as supporting individuals with disabilities. A yellow line divides the page. The lower section says: The Consumer Directed Personal Assistance Program (CDPAP) empowers New Yorkers to self-direct their home health care needs. CDPAP Personal Assistants support patients with activities of daily living (ADLs), personal hygiene, and light housekeeping. Unlike traditional home health aides, CDPAP personal assistants can administer medication, use medical equipment, and provide wound care. Many aides are trusted relatives or friends. CDPAP Personal Assistants can be anyone aged 21 and over who is not a spouse of the patient. Fiscal intermediaries (FIs) support administrative duties on behalf of consumers and care providers. The top half is divided into 2 columns, Providers and Recipients. Column 1: Providers Home health aides are disproportionately older women of color compared to the statewide workforce. - 81% of home health aides are women, compared to 51% of workers statewide. - 51% of home health aides are aged 55 or older, compared to 40% of workers statewide. - 70% of home health aides are People of Color, compared to 44% of workers statewide. Column 2, Recipients Care recipients across the state are often older New Yorkers, a group that has grown significantly in the last decade. - 4.3M Aged 65+ (2034) projected signified by a dotted line pointing to growth between three numbers. - 3.7M Aged 65+ (2024) - 2.9M Aged 65+ (2014) A yellow line separates the page. The bottom half reads: In Massachusetts and Pennsylvania, consolidating from multiple to one statewide Fiscal Intermediary caused: • Disruption to care • Disruption to provider pay, and • No cost savings to the State. Citations to all data are in small print at the bottom. Top headline reads "In-Home care program changes in other states" The top half is Pennsylvania. In 2012, Pennsylvania consolidated from 36 fiscal intermediaries to 1 : Public Partnerships, LLC. Administrative challenges during the transition resulted in disruptions to care and provider pay. Column 1 under that text. Under an image of the state of Pennsylvania it says: Disruption to Care Nearly 2,000 consumers switched care to the state’s more expensive agency-directed model. Column 2 under an image of money in an envelope it says: Disruption to Provider Pay Caregivers went weeks without pay, some for over two pay cycles. Others were overpaid, with wage overpayments exceeding $475,000 to select providers in 2013. A red box on the far right side has an image of money changing hands and reads: +7M Costs to the state in the first year. A yellow line divides the page in half. The bottom half says Massachusetts. In 2022, Massachusetts consolidated from 3 fiscal intermediaries to 1: Tempus Unlimited. Administrative challenges during the transition resulted in the state needing to bring on an additional vendor. Column 1 under this text is under an image of Massachusetts Disruption to Care Tempus received 32,000 support calls in the first week. Column 2 is under an image of, presumably, a paycheck. Disruption to Provider Pay FI missed 10% of paychecks during the transition, forcing the state to publicly direct the FI to pay 4,000 workers who missed at least two paychecks. A red box on the far right has a picture of money changing hands and reads +2.5M Costs to the State in the first year. Citations for all data is in small text at the bottom of the page. Text about HR&A Advisors and a disclaimer. HR&AAdvisors, Inc. (HR&A) helps create more equitable, resilient, and dynamic communities. Our work turns vision into action through rigorous analysis, strategy development, and implementation planning. DISCLAIMER: All figures cited in this report are for general informational purposes only. All information is sourced from publicly-available datasets, reports, and periodicals. HR&A relied on information, data, and forecasts provided by U.S. Bureau of Labor Statistics, Lightcast, U.S. Census Bureau, and public reports by the States of Massachusetts and Pennsylvania. HR&A reviewed the information and projections provided using its independent professional judgment and skills in good faith. HR&A assumes no liability resulting from errors, omissions or any other inaccuracies with respect to the information referenced in this study.​ No opinion is intended to be expressed and no responsibility is assumed for any matters that are legal in nature or require legal expertise or specialized knowledge beyond that of an economic and fiscal impact consultant.​ If this study is referred to or included in any offering material or prospectus, it shall be deemed to have been included for informational purposes only and its use shall be subject to this disclaimer. HR&A, its directors, officers and employees have no liability to recipients of any such offering material or prospectus. HR&A disclaims any and all liability to any party.​
December 12, 2024 at 4:50 PM
bromalley.bsky.social
Jose Hernandez, a public member of the Most Integrated Services Coordinating Council (MISCC) sends message - CDPAP Saves Lives & #ProtectHomeCare.

"PWD will be harmed by the actions of the Gov and...will cause many people with disabilities and older people to drop out of the program & die..."
A zoom screen with multiple tiles. In the middle is a Hispanic man with headphones. He has an orange background that says CDPAP Saves Lives and Protect Home Care underneath. An icon with PPL logo with a red circle and line signifying "NO" is in the other corner.
December 11, 2024 at 6:18 PM
bromalley.bsky.social
@ritchietorres.bsky.social highlights the harm @govkathyhochul.bsky.social proposal to move 280,000 older & disabled NYers to a monopoly controlled by PPL - an out of state company with a history of disastrous results for consumers - will have.
Rep. Ritchie Torres stands at a podium with the US House seal with trees and NY City Hall in the background. There is 1 wheelchair to his left (screen right) and 3 wheelchairs to his right (screen left). There are a crowd of people standing behind them. Many people are holding signs that say "No To Corrupt Contracting". A tweet from Emily Ngo of Politico reads "The Governor is not reforming CDPAP; she is deforming it," says @RitchieTorres, who is considering a challenge to @KathyHochul. Accuses her of a 'state-sanctioned monopoly.'" As of when it was downloaded, the tweet had 1 comment, 10 reposts, 12 likes, and 2,295 views.
December 3, 2024 at 4:42 PM