Research & Policy Library

Components of Plan Readiness for Managed Long-Term Services and Supports

An increased number of states are turning to managed care organizations to provide Medicaid funded long-term services and supports (LTSS) to improve quality of care and reduce cost.  AARP interviewed Medicaid officials in Arizona, Minnesota, Tennessee, Texas, and Wisconsin to learn more about how each state determines plan readiness for care coordination and access to services.  "Ready, Set, Go!

Future Long-Term Care Funding Capacity

Long-term care costs could increase by over 88 percent in the next ten years according to the University of California, Berkley’s Division of Health Policy and Management report, "Will Boomers Bust the Budget?"  Reasons for the increased cost include a greater number of older adults, longer lifespan, and increasing health needs due to chronic conditions.  The report reviews the affect this increased demand could have on the state budget.

Increasing Number of Medicare Advantage Plans with High Performing Ratings

Medicare Advantage plans are given a star rating for quality (care and value) ranging from one to five stars (five being excellent).  According to the Avalere report, "Analysis:  Number of Plans with High Star Ratings Will Increase in 2014," the number of counties with high performing plans will increase by 51% in 2014 giving beneficiaries more choices of high-quality plans. 

Quality of Care: Steps in the Right Direction

The California Healthcare Foundation report, "Quality of Care: Steps in the Right Direction," reviews the quality of care from birth to death in California.  Findings show that while California has improved on a variety of measures, there are still significant racial and ethnic disparities.  Additionally, California nursing homes were comparatively better with regard to preventing falls, weight loss, and depression, but had higher us

Dual Eligible Special Needs Plans (D-SNPs): Recommendations for Medicare and Medicaid Integration

In an effort to improve care for dual eligibles and align financing between Medicare and Medicaid some states are pursuing dual eligible special needs plans (D-SNPs) as an option to integrate care.  The National Association of Medicaid Directors paper, "Advancing Medicare and Medicaid Integration:  Improving the D-SNP Model for Dually Eligible Beneficiaries," identifies challenges in D-SNP integration and recommendations for remo

Affordable Care Act Home-and Community-Based Services Options Implementation Issues

The Affordable Care Act (ACA) provides states with new options for offering home-and community-based services (HCBS).  However, states have been slow to pursue these options despite the growing need for HCBS and the enhanced federal funding afforded to some of the options.  The Kaiser Commission on Medicaid and the Uninsured issue brief, "Key Issues in State Implementation of New and Expanded Home and Community-Based Services Options Available Und

Comparison of Eight Dual Eligible Integrated Care Demonstrations

The Affordable Care Act created an opportunity for states to test new service delivery systems and financing approaches for those dually eligible for Medicare and Medicaid.  At the time of this brief, eight states had signed memorandums of understanding with the Center for Medicare and Medicaid Services defining details of the demonstrations.  The Kaiser Commission on Medicaid and the Uninsured  brief, "Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared:  States with Memoranda of Understanding Approved by CMS," provides a comparison of the dual eligible integrated care demonstrations.

Understanding Alzheimer’s Disease

The number of Californians with Alzheimer’s disease is expected to grow by 37.5% between 2010 and 2025 according to the report, "Understanding Alzheimer’s Disease," from the California Senate Office of Research.  The report identifies advancements in treatment, as well as the state and federal plans to manage the societal and economic impact of the disease.

Medicaid Expenditures for Long-Term Services and Supports

Approximately $136.2 billion was spent on Medicaid long-term services and supports (LTSS) in FY2011 according to the report, "Medicaid Expenditures for Long Term Services and Supports in 2011."  The report includes Medicaid expenditures for all LTSS by service category and state, including institutional and non-institutional settings.