The Buzz

News on transforming care for older adults

    Tagged in: `medicaid`

    June30 th

    Together Medicare and Medicaid have the potential to enhance the care experience, improve outcomes, and reduce costs. The Center for Health Care Strategies’ resource center can help states grow their knowledge base for advancing Medicare-Medicaid integration.

    Better Care Playbook offerings provide information on community-based care. Learn how to optimize the Medicare home health benefit, and impact health care utilization and costs through community-based care management.

    April28 th

    A new report from the Milken Institute Center for the Future of Aging identifies technological opportunities to advance health and home care solutions.

    April5 th

    The Bipartisan Policy Center (BPC) updated roadmap and accompanying brief have recommendations for federal policy solutions to improve care for individuals with complex medical and nonmedical needs. Watch last week’s event recording.

    Also, watch TSF President and CEO Sarita A. Mohanty’s related remarks in discussion with the Alliance for Health Policy on strengthening Medicare and Medicaid flexibilities.

    Map and road with location pin points.

    March30 th

    Medicare and Medicaid flexibilities enacted during the pandemic created opportunities to advance person-centered care. Join our President and CEO Sarita A. Mohanty TODAY, March 30, for a discussion hosted by Alliance for Health Policy on how to strengthen these flexibilities for future generations.

    Image of Dr. Mohanty next to her quote from March 2022 press release

    Providing quality care to people with complex needs remains one of the most pressing issues facing our health care system. Join the Bipartisan Policy Center tomorrow, March 31, for a webinar on potential federal policy solutions.

    Logo of Bipartisan Policy Center

    March23 rd

    A new issue brief and policymaker playbook from Health Management Associates and Manatt Health provide a framework to help policymakers assess which COVID-19 Medicare and Medicaid regulatory flexibilities advance person-centered care and should be made permanent.

    Join our President and CEO Sarita A. Mohanty on March 30 for a discussion hosted by Alliance for Health Policy on how to maintain and strengthen these flexibilities for future generations.

    March16 th

    Providing quality care to people with complex needs remains one of the most pressing issues facing our health care system. Join the Bipartisan Policy Center on March 31 for a webinar on potential federal policy solutions. 

    March9 th

    There is a clear need to assess the impact of Medicare and Medicaid flexibilities enacted during the pandemic. Join an Alliance for Health Policy event on March 30 for a discussion on how to maintain and strengthen these flexibilities for future generations. In the meantime, watch a related session from TSF’s 2021 Forum. 

    COVID-19 disproportionately affected older adults, those with complex health conditions, and family caregivers. Manatt Health’s updated resource guide assesses which COVID-19-related policies should be made a permanent part of broader long-term services and supports (LTSS) system reform.

    Our Sustaining Flexibilities in Medicare and Medicaid initiative engages partners to expand the knowledge base through reporting on the implementation and outcomes of the Medicare-Medicaid flexibilities. Watch a Duke-Margolis Center for Health Policy video that discusses leveraging reforms to expand home-based care. 

    February2 nd

    Long-Term Quality Alliance and ATI Advisory released new insights on the Contract Year 2023 Medicare Advantage and Part D (MAPD) Proposed Rule and its impact on nonmedical supplemental benefits. See additional resources, including an analysis of the benefits offered in 2022. In a recent Playbook blog, learn how plans have used these benefits to support family caregivers.

    See also, ATI Advisory’s earlier insights on the impact of the MAPD Proposed Rule on dually eligible beneficiaries in this tool and blog.

    January27 th

    Governor Newsom’s recently released 2022-23 proposed budget includes several changes that impact services for older adults and people with disabilities. See how the proposed budget addresses Master Plan for Aging priorities like health care access and the care economy workforce.

    January20 th

    A new analysis by ATI Advisory shows that more Medicare Advantage (MA) plans are offering Special Supplemental Benefits for the Chronically Ill (SSBCI) in 2022. Learn more about which plans are offering which benefits.

    More states are interested in developing Master Plans for Aging (MPAs). Read New York’s announcement, and a recent blog highlighting a podcast on lessons learned in Colorado and Texas.

    To advance MPA activities, the Center for Health Care Strategies seeks Letters of Intent for states to participate in a learning collaborative. The deadline for submission is Monday, January 31.

    December8 th

    A Duke-Margolis Center for Health Policy brief highlights policy opportunities to advance home-based care for Medicare beneficiaries, and research explores leveraging payment reforms to support people with complex needs at home.

    Finally, a report from the Convergence Center for Policy Resolution shares insights on transforming our long-term care system.

    Learn the who, what, where, and how of home and community-based services (HCBS) in a new fact sheet from AARP as part of a series on transforming long-term services and supports (LTSS) as part of the LTSS State Scorecard.

    December1 st

    Building on lessons during COVID-19, a new National Academy of Medicine paper outlines priority actions and policy considerations for centering patients, families, and communities in health care delivery. Read a related report examining the care system’s pandemic response. 

    The COVID-19 pandemic has highlighted many inefficiencies in the nation’s long-term care (LTC) system. A recent Health Affairs blog looks at the impact of payment policies on nursing facilities. Another discusses state approaches for stabilizing the direct care work force through American Rescue Plan Act funds.

    November17 th

    As we get older, the majority of us will need some nonmedical help to remain independent. Learn how our grantees are championing solutions to finance nonmedical needs and advance key Medicare-Medicaid flexibilities from the COVID-19 public health emergency.

    Our monthlong series explored aging and engaging with our health care and long-term care systems. We highlighted personal experiences of older Californians, consulted with experts, and captured visual summaries.

    The Forum culminated with a poem written in real time bringing us back to the heart of the matter: What do we mean by “aging well” and “aging equitably”? View all the Forum recordings and resources.

    Illustration created by graphic recorder Christopher Fuller of Griot's Eye Inc. This illustration summarizes the major themes and ideas that were discussed during The SCAN Foundation's 2021 Forum: Amplifying All Voices in Aging. The graphic is divided into four quadrants. The top left quadrant represents week 1: "Amplifying All Voices in Long-Term Services and Supports Systems Transformation: California State of the State" and some of the selected highlights are: 1) a simple icon representing the COVID-19 shape with white text that says, "COVID-19 has been challenging, but let's not waste the opportunity it gives us!" 2) Next to the COVID-19 drawing is a drawing of a pie with the word "equity" carved into it. Surrounding the pie is the text, "budget planning: Bake equity in!" 3) a drawing of a megaphone that announces, "bring in more voices!" Then in the top right quadrant, the artist has summarized week 2 "From Theory to Practice: Delivering Care for People with Complex Needs" with the following highlights: 1) a drawing of an open toolbox that is labeled "The complex care toolkit." The toolkit's features are listed as: "building blocks for training; guidelines for hiring and attitudes; and case studies." 2) A drawing of a woman's face with an accompanying word balloon that says, "I know, because I've been there." This drawing is headlined by the words, "empathy" and "value the lived experience." 3) a drawing of three people that represents a well-trained interdisciplinary, diverse, care team. The bottom left quadrant features illustrated highlights from week 3 "Transforming Medicare and Medicaid Beyond COVID-19 for a Person-Centered Future." Some of its highlights are: 1) A drawing showing a barn versus a city skyline with the header, "let's expand remote services beyond rural!" 2) A drawing of a nurse practitioner administering an IV with the header "Stabilize the workforce with people working above their license." 3) A drawing of a daughter and her older father having a video visit with a doctor. The header for this illustration is "Telehealth benefits all!" The bottom right quadrant is week 4 "A Future Vision for Aging Well and Equitably Beyond COVID: Reflections from Public Health, Media, and Technology Leaders." The artist has captured two main highlights from that session that both show the importance of storytelling. The first graphic shows a grandmother having a video visit on her computer with her grandchildren. This image is juxtaposed with an older homeless man holding a sign that says, "no food, no home, no water, no power, no wifi." Above their graphic is the header, "make stories personable!" And below the drawing is the words, "make broadband accessible!" The second graphic captured by the artist is a quote from the poem, "Ode to Aging Well and Equitably" by Brian Sonia-Wallace that was created for the 2021 Forum. The quote is: "hidden inequalities cry for storytellers." Tying the four quadrants together is a centerpiece illustration featuring a diverse group of adults, including one man in a wheelchair, family, health care workers, and community members that jointly hold a large sign featuring the name of the event: "2021 Forum: Amplifying All Voices In Aging."

    November10 th

    The Support and Services at Home (SASH) model meets people where they are, integrating housing with community-based services and health care to coordinate services. An article in Generations Today explores how SASH is being used in different states.

    A recent Aging and Disability Business Institute profile explores Elder Services of the Merrimack Valley and North Shore and My Care Family Accountable Care Organization (ACO) partnership. The alliance resulted in better health outcomes for Medicaid beneficiaries and the expansion of contracts to address social needs, including housing and nutrition.

    October19 th

    We hope you’re enjoying Amplifying All Voices in Aging each Wednesday in October. It’s not too late to watch previous weeks’ recordings and register for our third session!

    Tomorrow, we will examine the temporary Medicare and Medicaid flexibilities enacted in response to COVID-19. Come consider what flexibilities should become permanent to achieve person-centered care for the future.

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    Medicare and Medicaid policy changes enabled during the pandemic can create a roadmap to better care for adults with complex needs. Learn more.

    • Health Management Associates describes initial and ongoing Medicare and Medicaid adaptations enacted during the pandemic.
    • Manatt Health examines how states are using policy flexibilities to improve long-term services and supports.
    • Our June 2020 brief unpacks how the changes supported California applications of person-centered care.
    • Convergence Center for Policy Resolution is working with national experts to reimagine the long-term care system and make it more affordable.

    My Care, My Choice (MCMC), a tool we developed to help Californians with Medicare and Medicaid better understand their health care options, has moved to a new home. Through a grant from the Administration for Community Living, the National Council on Aging has adopted the resource with plans to adapt it for more states, starting first with Ohio. Read the press release.