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Medical-Legal Partnerships in Cancer Care

  • Tomas Bednar
  • Domna Antoniadis
Chapter

Abstract

This chapter provides an overview of the medical-legal partnership (MLP) service delivery model, which integrates legal services into healthcare settings as a means of addressing the legal aspects of patients’ social determinants of health. It introduces the underlying concepts that drive MLPs, including the five “I-HELP” legal needs categories, and contextualizes them in the world of cancer care. The chapter then provides a basic introduction to the cancer-specific legal needs of low-income cancer patients for each of the five categories: income, housing, education and employment, legal status, and personal and familial stability. Each legal “snapshot” discusses the legal principles of each need, how those principles apply to cancer patients, and how an interdisciplinary MLP model can use those principles to address the needs of its patients. The discussion is intended to educate cancer providers on the MLP model as well as provide practical advocacy tips. It concludes with two case vignettes that demonstrate how MLP intervention can improve patient’s overall well-being and quality of life.

Keywords

Medical-legal partnerships Social determinants of health Legal needs Cancer Legal determinants of health Law Legal aid and health National Center for Medical-Legal Partnerships 

Abbreviations

ACA

Patient Protection and Affordable Care Act

ACP

Advance care planning

ADA

Americans with Disabilities Act

ALJ

Administrative law judge

BCCPTA

Breast and Cervical Cancer Prevention and Treatment Act

CAL

Compassionate allowance

CHIP

Child health insurance program

FDCPA

Fair Debt Collection Practices Act

FHA

Fair Housing Act

FMLA

Family Medical Leave Act

FPL

Federal poverty level

HCPOA

Healthcare power of attorney

IEP

Initial enrollment period

I-HELP

Income, housing and utilities, education and employment, legal status, personal and familial stability

LPR

Legal permanent resident

MA

Medicare advantage

MAGI

Modified adjusted gross income

MLP

Medical-legal partnership

National Center

National Center for Medical-Legal Partnerships

OOP

Out-of-pocket expenses

POA

Financial power of attorney

PRUCOL

Permanent residence under color of law

PRWORA

Personal responsibility and work opportunity reconciliation action

SDH

Social determinants of health

SGA

Substantial gainful activity

SSA

Social security administration

SSDI

Social security disability

SSI

Supplemental security income

TANF

Temporary assistance for needy families

TERI

Terminal illness cases

TWP

Trial work period

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Tomas Bednar
    • 1
  • Domna Antoniadis
    • 2
  1. 1.PhiladelphiaUSA
  2. 2.New York Legal Assistance GroupNew YorkUSA

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