Commissioned & Supported Work

Center for Health Care Strategies, Inc.: Quality Measurement in Integrated Care for Medicare-Medicaid Enrollees

This brief from the Center for Health Care Strategies, created with support from The SCAN Foundation and The Commonwealth Fund, summarizes efforts to develop quality of care measures for Medicare- Medicaid enrollees. It provides guidance to states in developing measurement approaches for proposed integrated programs, including assessment of quality in specific domains of integrated care such as longterm services and supports and behavioral health services. It also describes how performance measures can be shaped by stakeholder input.

Alliance for Health Reform: High and Rising Costs of Health Care in the U.S.

Alliance for Health Reform released a report that highlights what leading health care thinkers have to say about the drivers of health care costs, barriers to progress, possible solutions, and what is already working.

Center for Health Care Strategies: State Trends and Innovations in Medicaid Long-Term Services and Supports

This brief from the Center for Health Care Strategies highlights states’ continued progress in: 1) rebalancing LTSS options toward home- and communitybased services; and 2) developing and implementing managed LTSS programs to better integrate care. It describes states’ progress in improving quality of care for LTSS and the decision by some states to change program authority for provision of LTSS services from 1915(c) waiver authorities to comprehensive Section 1115(a) demonstration waiver authorities.

California Medicaid Research Institute: Medicaid and Medicare Spending on Acute, Post-Acute and Long-Term Services and Supports in California

This is the third report coming from the California Medicaid Research Institute (CAMRI) project entitled: Comprehensive Analysis of Home- and Community-Based Services in California. The report describes Medicare and Medi-Cal spending for those beneficiaries using long-term services and supports funded by Medi-Cal.

Center for Health Care Strategies - Balancing Incentive Program: Strengthening Medicaid Community-Based Long-Term Services and Supports

This technical assistance tool is a product of Center for Health Care Strategies' (CHCS) Implementing the Roadmaps: Innovations in Long-Term Supports and Services program, made possible through The SCAN Foundation. Through this program, CHCS is helping participating states to rebalance and better manage an array of long-term services and supports for Medicaid populations. This brief highlights ways for states to participate in the Balancing Incentive Program, which offers enhanced federal financing to fund non-institutionally based long-term services and supports (LTSS) within their Medicaid programs. To qualify states must include the following core elements in their LTSS programs: 1) a “no wrong door/single entry point” system; 2) conflict-free case management; and 3) a core standardized assessment instrument.

Avalere Health: Potential Partners for Community-Based Organizations in the California Health Care Landscape

TSF 2012 RFP BRIEF: Preparing Community-Based Providers For Successful Health Care Partnerships

While efforts are underway to improve care transitions and coordination, there is a dearth of information on how best to build partnerships between community-based long-term services and healthcare systems. Both sectors are tackling the issue of care coordination and good care transitions, but have been doing so in silos. To better understand specific opportunities for these partnerships in California, the Foundation developed the following background brief.

Victor Tabbush: Overview of Preparing Community-Based Organizations for Successful Health Care Partnerships

TSF 2012 RFP BRIEF: Preparing Community-Based Providers For Successful Health Care Partnerships

While efforts are underway to improve care transitions and coordination, there is a dearth of information on how best to build partnerships between community-based long-term services and healthcare systems. Both sectors are tackling the issue of care coordination and good care transitions, but have been doing so in silos. To better understand specific opportunities for these partnerships in California, the Foundation developed the following background brief.

California Medicaid Research Institute: Recipients of Home-and Community-Based Services in California

The California Medicaid Research Institute (CAMRI) compiled a report that identifies Californians who receive home-and community-based support and what services they receive.  The brief brings together available information spread across multiple state and federal data systems.  Also featured below is an accompanying fact sheet produced by The SCAN Foundation.

Center for Health Care Strategies: Medicaid Rate-Setting Strategies to Promote Home- Community-Based Services

States are pursuing a variety of innovative managed long-term services and supports (MLTS) delivery models to improve care for Medicaid beneficiaries. This brief, "Medicaid Rate-Setting Strategies to Promote Home- Community-Based Services," from the Center for Health Care Strategies, describes rate development strategies that states can use to promote home- and community-based services (HCBS) in MLTS programs, the role of integrated care programs to help expand HCBS, and other considerations for developing rates for MLTS programs.

P. Wagonhurst: Tools to Successfully Apply for the Center for Medicare & Medicaid’s (CMS) Community-Based Care Transitions Program

This brief is based on a March 2012 meeting of the Southern California Patient Safety Collaborative.  The brief highlights innovative approaches to care transitions, and technical assistance on how to navigate the Center for Medicare & Medicaid Services Community-Based Care Transitions Program application.

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