Commissioned & Supported Work
Posted November 3, 2014
Individuals eligible for both Medicare and Medicaid are among the highest-need populations in either program. States integrating care for this population must ensure that individuals’ health and social service support needs are addressed promptly. Stratifying Medicare-Medicaid enrollees by their level of need may help states and health plans in better prioritizing and promptly addressing care management to ensure high-quality, timely care.
Posted June 23, 2014
Many states are working with health plans to develop new systems of managed care for vulnerable Medicare‐Medicaid enrollees and individuals receiving long‐term services and supports. As a result, states are developing early implementation strategies to smooth the transition of beneficiaries and providers from the fee‐for‐service environment into managed care. This brief focuses on key strategies used by Medicaid agencies in four states – California, Florida, Massachusetts, and Texas – to facilitate managed care implementation.
Posted June 11, 2014
This analysis compares Californians to the rest of the country based on findings from a national long-term care poll released in May 2014.
Posted June 6, 2014
Giving low-income older adults in California a voice in their own care is critical to making a seamless transition into Cal MediConnect, a new managed care program for dual-eligibles, according to a policy note by the UCLA Center for Health Policy Research.
Posted April 22, 2014
LTSS includes home and community based services (HCBS) as well as care delivered as a part of an extended stay in a nursing facility (NF). This research examined the patterns of health care related events and expenditures that preceded and followed the initiation of LTSS as well as the pattern of LTSS use following a hospitalization. This research identified 474,706 adult (ages 18 years and older) fee-for-service MME beneficiaries in California who initiated at least one type of LTSS during the two-year period of January 2006 to December 2007.
Posted April 15, 2014
State Medicaid programs are moving from fee-for-service to managed care delivery systems for individuals with complex care needs, particularly those who are dually eligible for Medicare and Medicaid or who use long-term services and supports. To provide better integrated and more cost effective care, states are developing managed long-term service and supports programs or capitated financial alignment demonstrations for dually eligible individuals.
Posted April 7, 2014
Founded in 2007 by former Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell, the Bipartisan Policy Center (BPC) is a non-profit organization that drives principled solutions through rigorous analysis, reasoned negotiation, and respectful dialogue. With projects in multiple issue areas, BPC combines politically balanced policymaking with strong, proactive advocacy and outreach.
Posted February 24, 2014
Behavioral health disorders—which include mental illness and/or substance use disorders—are among the most prevalent and disabling conditions affecting individuals who are eligible for Medicare and Medicaid (also known as “dual eligibles” or Medicare-Medicaid beneficiaries). One in four Medicare-Medicaid beneficiaries aged 65 and older and nearly 40 percent under age 65 have a mental health disorder.
Posted January 22, 2014
Medicaid is the single largest payer for long-term services and supports for low-income seniors and certain individuals with disabilities in the United States. It constitutes the only safety net coverage of comprehensive LTSS in the nation. Medicaid is jointly financed by federal and state governments. Within broad federal guidelines, each state designs and administers its own Medicaid program. California’s Medicaid program, Medi-Cal, is administered by the California Department of Health Care Services.
Posted January 14, 2014
More than 450,000 “dual eligible” adults (those insured through both Medicare and Medi-Cal) in eight California counties are slated to be moved from fee for service to managed care starting in April 2014. New data from the UCLA Center for Health Policy Research’s HOME project find that those who will be affected by the transition are often confused or concerned about its potential effects on their health care.