Aging/Older Adults

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Managed Long-Term Services and Supports: Status of State Adoption and Areas of Program Evolution

This chapter is part of MACPAC's June 2018 Report to Congress on Medicaid and CHIP. It reports on the trend of states using managed long-term services and supports (MLTSS). The chapter discusses program outcomes, the added complexity of long-term services and supports in Medicaid managed care, and different directions being explored in MLTSS. It also identifies issues for further examination.

Short URL: http://nasuad.org/node/70555

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Do Managed Care Programs Covering Long-Term Services and Supports Reduce Waiting Lists for Home and Community-Based Services?

This paper examines whether there is evidence that MLTSS programs increase access to home and community-based services (HCBS). One theory states that MLTSS programs may reduce costs associated with the use of institutional services, thereby allowing states to expand HCBS services and reduce waiting lists. This brief uses this theory and examines changes in a state's HCBS waiting list as one way to measure access to HCBS.

Short URL: http://nasuad.org/node/70487

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How do Managed Long-Term Services and Supports (LTSS) Programs Interact With Federal LTSS-Related Initiatives?

This paper explores how state MLTSS programs interact with federal LTSS initiatives. It examines this interaction in four states: Illinois, Iowa, New York, and Ohio. It specifically focuses on the the interaction of these states' MLTSS programs with the Money Follows the Person (MFP) demonstration, the Balancing Incentive Program, the Health Home State Plan Option, and the Financial Alignment Initiative (FAI).

Short URL: http://nasuad.org/node/70486

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The Impact of Managed Long-Term Services and Supports (MLTSS) Policies on Access to LTSS

This paper looks at the impact of various MLTSS policies on access to LTSS. It looks specifically at four states and the policies which these states identify as important to ensuring access. All four states identified network adequacy standards, transition of care, provider reimbursement, and level of care criteria as important factors. In addition, the paper examined participant-directed services policies and care coordination models.

Short URL: http://nasuad.org/node/70485

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Implications of the ACA Medicaid Expansion: A Look at the Data and Evidence

This issue brief summarizes the current evidence surrounding the effects of Medicaid expansion on coverage, access, affordability, health outcomes, and economic indicators. The paper draws primarily from evidence examined in 202 studies reviewed in a previous KFF literature review on this subject.

Short URL: http://nasuad.org/node/70484

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The State of Senior Hunger in America in 2016

This report analyzes data on food insecurity among older adults ages 60 and over. It illustrates that while the food-insecurity rate for this population has recently declined, it is still significantly higher than a decade ago. This report also highlights sub-segments of this population who are at particularly high risk of experiencing food insecurity, including older adults with disabilities and older adults who are racial or ethnic minorities.

Short URL: http://nasuad.org/node/70473

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Deaths from Falls Among Persons Aged ≥65 Years — United States, 2007–2016

This report expands upon the already established fact that falls are the leading cause of injury-related deaths among people 65 years and over. It reports on the increasing rate of deaths from falls, noting that they increased 31% from 2007 to 2016. In people aged 85 and over, this rate increased 3.9% per year. This report emphasizes the need for providers to take actionable steps towards reducing falls, including through targeted interventions such as prescribing balance exercises.

Short URL: http://nasuad.org/node/70471

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Estimating the Economic Burden Related to Older Adult Falls by State

This report looks at methods of calculating the costs associated with falls in older adults. It presents two methods to calculate these costs: partial attributable fraction, which focuses on the details of payer type, and count applied to cost, which utilizes states’ own counts to assess lifetime costs. The goal of this report is to encourage states to use effective cost calculation to plan more targeted preventive measures going forward.

Short URL: http://nasuad.org/node/70470

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