The Buzz

TSF and our grantees are headed to Atlanta for the annual conference of the American Society on Aging (ASA). Check out where you can find us and register for On Aging 2023.

• Join TSF Vice President of Programs, Equity, and Community Impact Rigo Saborio and a distinguished set of speakers for a preconference workshop to unpack how a state can start and build momentum for a Multisector Plan for Aging. Hear strategies for building cross-agency collaboration and centering equity, learn how to engage diverse stakeholders, get guidance on tracking data and measuring success, and find out lessons learned from other states. (March 27)
• Why a Multisector Plan for Aging? States Share Their Unique Approaches and Tools. In this session, leaders from three states that are participating in an Multisector Plan for Aging (MPA) Learning Collaborative will describe where they are in their development process as well as their unique strategies for MPA development. This includes cross-sector planning and broad consumer and stakeholder engagement, using data, messaging, and more. (March 28)
• Building Partnerships to Deliver Medicare Advantage Nonmedical Benefits. Megan Burke, TSF Program Officer for Policy and Advocacy, will provide opening remarks during this session designed to present the latest trends in nonmedical benefits and illustrate the value and scope of innovative, collaborative partnerships to best deliver the benefits in a person-centered, tailored way within diverse communities across the country. (March 30)

Last week, the Alliance for Health Policy held a webinar to discuss telehealth policy and other considerations for using the public health emergency (PHE) flexibilities to improve person-centered, equitable care for adults. Watch the recording, as well as access the transcript and presentation.

The related PHE Flexibilities Roadmap for Policymakers resources supported by TSF and released earlier this year provide concrete and consensus-driven recommendations to federal and state policymakers on which temporary Medicare and Medicaid flexibilities should be made permanent.

Join Alliance for Health Policy this Friday for a webinar: Moving Beyond COVID-19: Considerations for Using PHE Flexibilities to Improve Person-Centered Care. The event will feature TSF leadership and a diverse panel of experts to discuss considerations for using the public health emergence (PHE) flexibilities to improve person-centered, equitable care for older adults.

This webinar further unpacks the PHE Flexibilities Roadmap for Policymakers resources supported by TSF and released earlier this year. The Roadmap provides concrete and consensus-driven recommendations to federal and state policymakers on which temporary Medicare and Medicaid flexibilities should be made permanent. View the related media advisory.

The National Opinion Research Center (NORC) at the University of Chicago conducted a 2022 survey on the health care needs and experiences of Californians age 55 and older. Our new fact sheets distill findings as they relate to care coordination, mental health, income disparities, and caregiving.

Learn about our initiative to influence access and care delivery and coordinate medical and nonmedical services in support of community living.

How are Medicare Advantage (MA) plans structuring and delivering nonmedical supplemental benefits to meaningfully meet members’ needs? The Long-Term Quality Alliance (LTQA) and ATI Advisory conducted an analysis of three nonmedical benefits: in-home support services (IHSS), caregiver supports, and social needs. Join them for a webinar to learn about the findings.

Medicare beneficiaries with chronic conditions and daily living challenges struggle to navigate a complex care system. Our page on Innovating for Medicare Beneficiaries outlines how states can improve equitable access to high-quality care and services for their Medicare populations. In California, learn how one woman supports the Medicare-eligible.

Supported by TSF, a group of expert stakeholders with diverse perspectives met over several months to assess COVID-19 Public Health Emergency (PHE) flexibilities. Resources on the webpage PHE Flexibilities Roadmap for Policymakers provide concrete and consensus-driven recommendations to federal and state policymakers on which temporary Medicare and Medicaid flexibilities should be made permanent to increase access to equitable, person-centered care for older adults. View the Roadmap and media advisory.

Among the flexibilities that experts found should be made permanent are those that:

• Expand telehealth benefits to ensure equitable access to remote care;
• Maximize clinician scope of practice to expand the workforce available to care for older adults; and
• Ease Medicare and Medicaid program requirements to enable more individuals to qualify to get the care they need.

Join Alliance for Health Policy on Friday, March 3, at 9 am PT for a webinar: Moving Beyond COVID-19: Considerations for Using PHE Flexibilities to Improve Person-Centered Care. The event will feature TSF leadership and a diverse panel of experts to discuss considerations for using the PHE flexibilities to improve person-centered, equitable care for older adults.

Throughout the pandemic, research showed the potential for PHE flexibilities to minimize administrative, clinical, and financial barriers while significantly advancing person-centered, equitable care.

The Roadmap was developed following formative efforts. This included a 2022 issue brief and policymaker playbook that examined the benefits and risks of PHE flexibilities, described a person-centered assessment framework, and offered recommendations for flexibilities that could be considered for permanence.

Medicare beneficiaries with chronic conditions and daily living challenges struggle to navigate a complex system of care. Innovating for Medicare Beneficiaries outlines ways states can improve equitable access to high-quality care and services for this population. In California, a survey conducted by The National Opinion Research Center (NORC) at the University of Chicago highlights the health care needs and experiences of adults age 55 and older. Also, view an ATI Advisory profile of California’s Medicare population.

A recent study in the Better Care Playbook found that Medicare beneficiaries with complex needs who were enrolled in Medicare Advantage (MA) plans had lower rates of acute care utilization than those in traditional Medicare.

A new brief from ATI Advisory offers data insights on 2023 Medicare Advantage (MA) plans offering the five expanded primarily health-related benefits (EPHRB). The brief includes information on where plans are offering EPHRB and an overview across both MA special needs plans (SNPs) and non-SNP MA organizations. This is part of ATI’s broader effort to track nonmedical supplemental benefits and builds on their recent chartbook.

A new brief from AARP Public Policy Institute presents the vision and framework for the 2023 Long-Term Services and Supports (LTSS) State Scorecard. The brief discusses AARP’s approach to the 2023 edition of the Scorecard, reflects on changes since the Scorecard was first published in 2011, and considers how future editions may best meet today’s needs.

A brief from the National Conference of State Legislatures (NCSL) highlights current federal initiatives for integrating payment and delivery of services for dually eligible beneficiaries and opportunities for future integration efforts.

The Better Care Playbook elevates promising approaches to improve care for adults with complex health and social needs. Help the Playbook grow and evolve by sharing your feedback by November 30.

In a competitive bid, the Center for Health Care Strategies (CHCS) selected Medicaid agencies in eight states — Colorado, Hawaii, Maine, North Carolina, Texas, Virginia, Washington State, and Wisconsin — to participate in Medicare Academy: Capacity-Building for Advancing Medicare-Medicaid Integration. The Academy will help the states develop and oversee integration programs and engage in longer-term policy and program refinement.

A recent Health Affairs blog highlights cutting-edge efforts by the California Department of Health Care Services’ Office of Medicare Innovation and Integration (OMII). OMII sits within the state’s Medicaid agency and is tasked with expanding the health and human service focus beyond Medicaid to improve health outcomes, quality, affordability, and equity for all Medicare beneficiaries in California, including those that are dually eligible.

The Better Care Playbook elevates promising approaches to improve care for adults with complex health and social needs. Help the Playbook grow and evolve by sharing your feedback by November 30.

In a recent request for information, the Centers for Medicare & Medicaid Services (CMS) sought feedback to strengthen Medicare Advantage and advance health equity. Drawing on years of research, ATI Advisory and Long-Term Quality Alliance (LTQA) shared how CMS can strengthen supplemental benefits to advance health equity and better support Medicare beneficiaries.

We recently hired three vice presidents from diverse sectors of health care to build out our executive team:

• Anika S. Heavener, Vice President of Innovation and Investments;
• Narda Ipakchi, Vice President of Policy; and
• Rigo A. Saborio, Vice President of Programs, Equity, and Community Impact.

The appointments conclude a broad executive search for proven, dynamic, and diverse leaders to advance TSF’s strategic priorities. Read more.

Our latest Associated Press-NORC Center for Public Affairs Research poll indicates that most U.S. adults think private health insurers (60%) and Medicare (57%) should have a large responsibility for paying for the costs of long-term care, and about half think the same about Medicaid (53%).

Also, majorities of Black and Hispanic adults are very or extremely concerned about having access to high-quality health care when they need it. Read the press release and article.

Older adults thrive in settings best suited to their individual needs. A new report from the Convergence Center for Policy Resolution highlights steps toward a system of care and supports that reflect the preferences and life goals of older adults. These include creating a constellation of care settings with adaptable and viable business models so that preferred options are available as people age, and ensuring there are enough direct and family caregivers.