Human Services

On Thursday, February 23, 2023 the United States Senate Finance Committee and Senate Special Aging Committee released a report that focuses on the catastrophic weather events in Texas in February 2021. The report details how widespread power outages affected nursing homes and residential facilities resulting in more than 1,400 nursing home residents being evacuated.

On February 7, 2023 the University of New Hampshire released key findings from the Annual Disability Statistics Collection. The annual report looks at national data for gaps related to people with disabilities across the states. The full compendium of data as well as supplementary data and state reports are available online, and the University of New Hampshire will be holding a virtual release for the compendium which will be recorded.

This publication finds meaningful variation in disenrollment and churn across Medicaid beneficiary categories. Specifically, beneficiaries with Supplemental Security Income-related eligibility have low rates of disenrollment and high rates of reenrollments. In this research, Mathematica uses data from the Transformed Medicaid Statistical Information System Analytic File to examine rates of disenrollment, churn, and continuous coverage among categories of children and adult Medicaid beneficiaries whose eligibility is related to a disability.

The Center for Health Care Strategies, with support from the New York Health Foundation and in partnership with ATW Health Solutions, assisted seven New York-based health care organizations in piloting strategies for engaging patients of color to advance health equity. This CHCS brief outlines considerations for health care organizations in developing patient engagement strategies, including: (1) building trust with patient partners over time; (2) tailoring outreach strategies; (3) using-trauma-informed approaches; (4) engaging patients in data use; and (5) approaching engagement with humility.

Since the early ninties the Eldercare Locator has connected older adults, caregivers, families, and professionals to local services that support healthy aging at home. This new infographic illustrates the top needs of individuals who contacted the Eldercare Locator in 2021. Requests were mostly related to transportation (22%), in-home services (12%) and housing (11%).

This blog post from Mathematica discusses the importance of partnerships between states and the federal government through highlighting topics covered at NAMD's 2022 conference. Sessions touched on innovations developed as part of recently approved 1115 demonstrations in Arizona, Massachusetts, Oregon, and Arkansas which focused on the ways states are providing whole-person care by addressing the health-related social needs of members. The post also explores Mathematica's work with CMS and states to build stronger measurement and evaluation infrastructure for a broad range of demonstrations, including those addressing substance use disorder, mental illness, and health-related social needs.

Each edition of the AARP Public Policy Institute's Long-Term Services and Supports (LTSS) State Scorecard has measured state performance against an objective, data-driven set of metrics that illustrate how states were doing with their LTSS systems at a given time. This paper discusses the approach to the 2023 edition of the Scorecard, reflects on what has changed since the Scorecard was first published, and considers the possibilities of future editions.

On Friday, November 11, 2022 HHS announced that it will again extend the COVID-19 Public Health Emergency (PHE). Based on commitments to provide at least 60 days’ notice prior to allowing the PHE to lapse, HHS had until Saturday, November 12, to provide states with notice that the PHE would either be extended or end in January. This means that unwinding protocol will not yet begin, and that the PHE policies such as Medicaid FMAP increases; continuous eligibility; and the 1135, Appendix K, and Emergency SPAs will remain in effect.

Disasters come in many forms, from hurricanes and wildfires to pandemics and cyber attacks. Some of the hardest-hit victims are often older adults, individuals with disabilites, and unsheltered clients. WellSky is offering a free white paper to inform disaster preparedness plans. The paper provides step-by-step guidance to implement the five phases of preparedness, locate federal and state resources available to you, and continue service provision during and after an emergency.

This report is based on 2021 data from the National Adult Maltreatment Reporting System (NAMRS), which is a voluntary data reporting system that collects information from state adult protective services systems throughout all states, territories, and the District of Columbia. The 2021 report features a unique chapter on the potential impacts of COVID-19.