#protecthomecare
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bromalley.bsky.social
#Protecthomecare
caringmrising.bsky.social Caring Majority Rising @caringmrising.bsky.social · Jan 6
BREAKING: Today, the consumer-directed program (#CDPAP) begins its transition to a single for-profit, out-of-state fiscal intermediary called PPL. Our statement on why this move is a disaster for workers & consumers.
Breaking! STATEMENT: Today, CDPAP Begins Transition to a Single Fiscal Intermediary—A Move That Will Harm Workers & Consumers. :For months, New Yorkers on both sides of the aisle have warned that the rush to move CDPAP administration to a single corporation was reckless. Now, with New York set to begin this transition, our worst fears are coming true." "Yet Governor Hochul and PPL insist on barreling forward on a timeline that is destined to knock tens of thousands of older and disabled New Yorkrs and home care workers out of the program. At a time when we fear tremendous Medicaid cuts from the federal government, our state government should be shoring up and supporting home care, not destabilizing and decimating this essential service." Today, NY’s home care consumers and workers who use CDPAP will begin the transition to a single home care Fiscal Intermediary (FI), when phone lines open to move care over to PPL, an out-of-state private-equity backed for-profit corporation... The move could put tens of thousands of home care workers out of work, while leaving tens of thousands of consumers stranded without care. Days before the transition is set to begin, it is clear PPL does not have any of the infrastructure or capacity needed to ensure the move will go smoothly— Insufficient Staffing, lack of accessibility, insufficient time to transfer data, ineffective transition plan. For upcoming action to oppose this transition, sign up for CDPAP updates at: tinyurl.com/CDPAP-updates
January 6, 2025 at 11:18 PM
consdiractionny.bsky.social
#ProtectHomeCare
bromalley.bsky.social Bryan Marcou-O'Malley @bromalley.bsky.social · Dec 12
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 6:35 PM
spirit-sci.bsky.social
As the holidays approach, many celebrate with heavy hearts due to the decisions of our elected officials. Read my statement and tag your representatives. #ProtectHomeCare
December 18, 2024 at 2:10 PM
bromalley.bsky.social
#protecthomecare
caringmrising.bsky.social Caring Majority Rising @caringmrising.bsky.social · Jan 7
In case there’s any confusion about why New Yorkers oppose PPL as a single home care fiscal intermediary.

#CDPAP #HomeCare #FairPay4HomeCare #Medicaid #HealthInsurance #NewYork #HomeCareWorker
January 7, 2025 at 4:33 PM
votejgr.bsky.social
When put in perspective of home care, #CDPAP growth is only 3.7%. This dramatically changes conversation on upending care for 250,000 older & disabled NYers.

#ProtectHomeCare
How Fast is New York's Home Care Program Growing? - Fiscal Policy Institute
By Michael Kinnucan, Senior Health Policy Advisor December 12, 2024 Download PDF Key Findings Much recent reporting has focused on the growth of CDPAP in isolation, but this perspective exagg...
fiscalpolicy.org
December 17, 2024 at 3:59 PM
bromalley.bsky.social
@kathyhochul.bsky.social insistence on moving 280k older & disabled folks to PPL despite all evidence it's a bad idea has smelled funny since Day 1. How's she pick a company in April before budget was done & then say all was above board? Now we know.

#ProtectHomeCare

nypost.com/2024/12/01/u...
nypost.com
December 2, 2024 at 2:42 PM
bromalley.bsky.social
@govkathyhochul.bsky.social says she's giving PPL #CDPAP to "protect home care users & caregivers." But CDPAP's built on Dignity of Risk, ending ableist tropes that PWD need protection from able-bodied. Consumers see her "protection" more like that from the mob - take it or else.

#ProtectHomeCare
January 16, 2025 at 3:03 PM
bromalley.bsky.social
NY Legislators are at home in their districts. But budget work is still happening and the travesty that is PPL is still moving forward. Call them in their district offices this week to #StopPPL. #SaveCDPAP and #ProtectHomeCare

www.votervoice.net/CDPAANYS/Cam...
Take Action - Consumer Directed Action of NY State
Take Action Become a Member!
www.votervoice.net
February 18, 2025 at 5:54 PM
bromalley.bsky.social
Congrats #SenatorGustavoRivera on being reappointed to Chair the @nysenate.bsky.social Cmte on Health. @consdiractionny.bsky.social looks forward to continuing to working with you to #ProtectHomeCare and supporting S1189.
January 9, 2025 at 4:39 PM
bromalley.bsky.social
It is #NationalAccessibilityBarriersDay. Here's to celebrating Public Partnerships, LLC (PPL) and their ability to make #CDPAP, a program by and for disabled folks, a beacon of inaccessibility throughout NY.

#SaveCDPAP #ProtectHomeCare
May 7, 2025 at 5:06 PM
bromalley.bsky.social
Don't let @govkathyhochul.bsky.social hijack home care. #ProtectHomeCare

vimeo.com/1028560873
In Their Own Words
This is "In Their Own Words" by Alliance to Protect Home Care on Vimeo, the home for high quality videos and the people who love them.
vimeo.com
November 26, 2024 at 11:19 PM
bromalley.bsky.social
@votejgr.bsky.social makes a great point. @govkathyhochul.bsky.social sold her #CDPAP boondoggle on 1200% growth. But economists say home care, counting CDPAP, grew at 3.7% - equal to aging growth.

Guess Mark Twain nailed it, "Lies, damn lies, & statistics"

#ProtectHomeCare
December 17, 2024 at 4:35 PM
bromalley.bsky.social
#PublicPartnershipsLLC, the private equity & union-busting backed group @govkathyhochul.bsky.social wants to give NY's #CDPAP home care to, is complaining they had 1,000 people call them on Day 1. Their transition timetable requires they take about 12,500 calls per day every day.

#ProtectHomeCare
January 13, 2025 at 8:50 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
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
foresthillsqueens.bsky.social
NY’s home care system is at risk. Hochul’s CDPAP overhaul replaced local organizations with one contractor, raising concerns about payment delays, disruptions, and loss of local support.

Help protect seniors/people with disabilities: sign our letter to Gov Hochul: LinkTree in Bio

#ProtectHomeCare
August 8, 2026 at 12:55 AM
bromalley.bsky.social
#ProtectHomeCare
danclarkreports.bsky.social Dan Clark @danclarkreports.bsky.social · Dec 18
Your CapCon is early! I explain why Hochul was confronted at the mall over CDPAP.
www.capitolconfidential.com/p/why-hochul...

- Environmentalists thank Hochul
- Three harm reduction bills signed
- & more
December 19, 2024 at 2:10 AM
bromalley.bsky.social
#ProtectHomeCare
caringmrising.bsky.social Caring Majority Rising @caringmrising.bsky.social · Nov 27
The main reason to oppose this disastrous restructuring of CDPAP is 1000s of older & disabled NYers losing life saving home care, & home care workers losing pay. But also true that this was a corrupt deal from the start between #KathyHochul and PPL.
www.timesunion.com/capitol/arti...
New York accused of rigging CDPAP contract in lawsuit
The lawsuit was filed by Freedom Care LLC, a home care company, against the state Department of Health and Public Partnerships.
www.timesunion.com
December 16, 2024 at 6:38 PM
bromalley.bsky.social
#ProtectHomeCare
December 16, 2024 at 6:38 PM
bromalley.bsky.social
#ProtectHomeCare
December 16, 2024 at 6:37 PM
bromalley.bsky.social
"What the Gov is suggesting is not throwing the baby out with the bathwater. It's leaving the baby in the bathwater and electrifying the little tyke." - Sen. Gustavo Rivera on @govkathyhochul.bsky.social proposal on #CDPAP.

#ProtectHomeCare

youtube.com/watch?v=ko06...
youtube.com
December 16, 2024 at 6:31 PM
bromalley.bsky.social
Study by @nyfiscalpolicy.bsky.social finds @govkathyhochul.bsky.social claims #CDPAP growth was 1200% based on selective reading of data. Combined w/ ALL home care, growth is consistent with NY's aging pop at 3.7%. 1196.3% error justifies change for 750k NYers. #ProtectHomeCare

shorturl.at/yPYif
How Fast is New York's Home Care Program Growing? - Fiscal Policy Institute
By Michael Kinnucan, Senior Health Policy Advisor December 12, 2024 Download PDF Key Findings Much recent reporting has focused on the growth of CDPAP in isolation, but this perspective exagg...
fiscalpolicy.org
December 12, 2024 at 10:42 PM