The Buzz

• Old People Are Cool, Design for Them Sucks: High-quality design has thankfully made its way into just about every category of products and services…except for things made to serve Americans age 65 and older. Learn what TSF is doing to improve design efforts with older adults.
• Treating the Other 1% – Americans with Unmet Needs: One percent of people with complex care needs account for 20 percent of U.S. health care expenditures, and they often experience multiple medical and long-term care challenges. Join Dr. Chernof for a discussion on delivering better care to these individuals.

The Long-Term Quality Alliance (LTQA), in collaboration with ATI Advisory (formerly Anne Tumlinson Innovations), recently held a public briefing on implementing Medicare Advantage, non-medical flexibilities made possible through the CHRONIC Care Act. A recording of the event and related materials are now available.

How can services that address social needs be integrated into clinical care? A new report from the National Academies of Science, Engineering, and Medicine identifies current approaches and recommendations to expand social care in health care delivery. Read the related blog post.

The Care Excellence training program helps prepare care management teams in health plans and hospitals to best serve diverse older adults with complex needs. Check out the latest course offerings.

Here are TSF’s top three most accessed publications last year:

1. The CHRONIC Care Act of 2018: Advancing Care for Adults with Complex Needs
2. It’s 2019! California Needs a Master Plan for Its Diverse Aging Population
3. Developing California’s Master Plan for Aging: Examples from Other States and Relevant California Efforts

On Tuesday, January 7, the Long-Term Quality Alliance (LTQA) – in collaboration with Anne Tumlinson Innovations (ATI) and with support from TSF – will hold a public briefing on Medicare Advantage and the CHRONIC Care Act.  We invite anyone interested in Medicare Advantage supplemental benefits to hear from Senator Mark Warner and a policy panel of expert stakeholders. Register today!

Medicare Advantage plans now have the flexibility to offer special non-medical benefits for members with complex care needs. Read guiding principles on how these benefits can best support consumers and be sustainable. Also, hear from the National MLTSS (Managed Long-Term Services and Supports) Health Plan Association, one group who helped to develop these principles.

A report from the Bipartisan Policy Center shared recommendations on ways to expand Medicare benefits for those with complex care needs.

The National Academy for State Health Policy (NASHP) recently highlighted the Medicare-Medicaid integration efforts of leading states.

A related toolkit from Center for Health Care Strategies, Inc., shares strategies states can implement when reforming their Medicaid long-term services and supports.

A new model in Memphis, Tenn., reduced emergency department visits nearly 70 percent and saved the health system more than $7 million by fostering secure and genuine connections between patients and providers.

As part of our Cal MediConnect evaluation, the latest University of California slide deck unpacks the effects of home- and community-based services (HCBS) for California dual eligibles.

Just in time for Medicare’s open enrollment, My Care, My Choice resources are now available in Traditional and Simplified Chinese, along with English and Spanish. See how it can help Californians with Medicare and Medi-Cal better understand their care choices!

A new My Care, My Choice Comparison Chart unpacks the basics of California’s health care coverage choices for dual eligibles.

Watch a video series on Mi Salud, Mi Decisión, the Spanish version of My Care, My Choice. Univision ambassadors helped more than 500 people get their results.

Californians with Medicare and Medi-Cal have many choices to get the health coverage they need, but it varies by county. This policy brief outlines available choices across the state, and describes the My Care, My Choice web resource.

New findings, published in the Journal of General Internal Medicine and supported by the Six Foundations, explore mechanisms and motivations used by high-performing accountable care organizations (ACOs) to improve complex care.

What are special needs plans (SNPs)? Who do they help? A new primer on the Better Care Playbook explores the three different types of SNPs and the populations each serve.

Millions of older adults have chronic conditions and daily living needs. Starting in 2020, the Centers for Medicare & Medicaid Services allows Medicare Advantage (MA) health plans unprecedented flexibility to offer special supplemental benefits for chronically ill (SSBCI) enrollees.

Anne Tumlinson Innovations and the Long-Term Quality Alliance, with funding from TSF, gathered 30 industry leaders to develop guiding principles on how these benefits can best meet consumer needs and be sustainable.

Today, the Bipartisan Policy Center (BPC) released a report with recommendations on ways to expand supplemental benefits in Medicare, such as home-delivered meals, for those with complex care needs. Check out the Associated Press article.

A recent analysis outlines opportunities to serve complex care populations in Medicare Advantage plans. Also, see our 2018 policy brief on how the CHRONIC Care Act is a key step toward advancing person-centered care.

Read a Better Care Playbook blog post from Anne Tumlinson on the importance for health plans to cover non-medical services and coordinate resources to help individuals and families manage their care.

The Care Excellence training program helps prepare care management teams in health plans and hospitals to best serve diverse older adults with complex needs.

Here are a few TSF-funded resources on care integration:

• The Center for Consumer Engagement in Health Innovation hosted a fall symposium on state duals demonstrations, which resulted in 10 recommendations.
• The Center for Health Care Strategies and Manatt Health Strategies toolkit shares approaches for states seeking to reform their Medicaid long-term services and supports systems.

Want an easy way to share My Care, My Choice (MCMC) with key stakeholders, including Californians with Medicare + Medi-Cal? Head to the Advisor Tools page and download the Outreach Flyer today!

Do you know the four fundamental components of helping people with complex care needs? One complex care hospitalist program highlighted in the Better Care Playbook aims to address these and more.

A new video series from the Institute for Healthcare Improvement/Center for Consumer Engagement in Health Innovation explores the transformation of care for people with involved disabilities.

Researchers at University of California, San Francisco released a new report about the experiences of California’s Medicare-Medicaid enrollees between 2015-18. Cal MediConnect beneficiaries reported higher levels of confidence and continuity of care, but key differences remain by county, race, language, and disability levels.

The National Governors Association Center for Best Practices (NGA Center) published a new report with considerations for governors and state leaders as they design and implement strategies to meet the long-term care needs of older adults and people with disabilities.

My Care, My Choice has been updated to be streamlined and simpler! See how this decision-support tool can help Californians with Medicare and Medi-Cal better understand their care choices, including those who are new to Medicare.

States have significant flexibility to transform their Medicaid long-term services and supports (LTSS) programs in ways that advance care quality and manage costs. This toolkit from the Center for Health Care Strategies and Manatt Health shares proven, replicable strategies for states to improve person-centered, community-based options. It identifies concrete policy strategies, operational steps, and federal and state authorities that states have used to advance their LTSS reforms. The toolkit, developed with support from The SCAN Foundation and the Milbank Memorial Fund, also highlights opportunities and challenges that states faced in designing and implementing reforms.