0:00The meeting began with a detailed presentation on the community Narcan training program by Eliza Morrison from the AIDS Support Group of Cape Cod. Morrison emphasized the critical role of Narcan, or naloxone, in reversing opioid overdoses, noting its legal status in Massachusetts and advocating for its widespread availability. She highlighted the high risks associated with fentanyl-laced substances and the importance of recognizing overdose signs such as slow breathing and pinpoint pupils. The training also covered practical steps for overdose response, including the administration of Narcan and the importance of calling 911. Morrison addressed concerns about rescue breathing safety, advising the use of barriers when possible.

35:52Narcan’s accessibility was a key topic, with assurances that it can be obtained without a prescription from local pharmacies. The meeting noted efforts to distribute Narcan in “noock boxes” across community locations, offering anonymous access to the life-saving medication. Concerns about the stigma of obtaining Narcan were addressed, with reassurances that purchasing it would not label individuals as opioid users. The discussion also explored challenges in transitioning individuals from overdose response to ongoing treatment, emphasizing harm reduction and the availability of supportive services even when individuals are not ready for full treatment.

1:30:02Attention then turned to Medicare, where issues arose concerning Blue Cross Blue Shield’s changes to Medicare Advantage plans that affected residents dependent on Outer Cape Health Services. The meeting noted that these changes were communicated just weeks before the end of the open enrollment period, leaving many clients potentially without coverage. Participants expressed frustration at the lack of timely information, with some facing extended wait times for new primary care appointments, complicating access to necessary healthcare.

The reasons behind Blue Cross’s decision were unclear, though it was suggested that quality metrics and a pursuit of a five-star plan rating might be factors. The discussion revealed the complexities residents face in securing alternative plans, with potential negotiations mentioned between Outer Cape Health and Fallon Health as a possible solution.

The board also considered the broader implications of recent Medicare changes, including the introduction of a payment plan for prescription drugs to ease financial burdens.

53:57In addition to these topics, the meeting covered various community services initiatives. Leah LaCrosse, director of Chatham Community Services, detailed the department’s offerings, including a durable medical equipment lending library and transportation services for medical appointments. The department’s efforts to combat loneliness through the “Chat Them Better Together” program were also noted, as well as a new adult supportive day program set to launch in January, funded by a $274,000 grant.