Advocates

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.

The Maximizing Independence (MIND) at Home program at Johns Hopkins University provides home and community-based care coordination for individuals and families living with dementia. Through focus groups with Black caregivers, researchers at Johns Hopkins aimed to better understand the unique needs of Black patients and families living with dementia, identify opportunities to improve care delivery, and understand caregivers’ perception of the MIND at Home program. This blog post from The Playbook explains the MIND at Home program and how dementia care coordination programs can better support Black patients and their families.

The Nutrition and Aging Resource Center has partnered with the National Association of Nutrition and Aging Services Programs (NANASP) to conduct a survey of local senior nutrition providers and area agencies on aging on the status of successfully reopened congregate meal sites after the COVID-19 pandemic. The input from this survey will be used to develop webinars, trainings, and other resources that will be housed in the Resource Center in order to share best practices.

This brief highlights Part D plan (PDP) availability. In 2023, the average number of PDPs available to beneficiaries is 24, up one from 2022. A total of 801 PDPs will be offered in the U.S., ranging from 19 in New York to 28 in Arizona.

This brief describes Medicare Advantage (MA) plan offerings in 2023. Of note, the average number of MA plans available to Medicare beneficiaries in 2023 is 43 compared to an average of 38 plans in 2022. Beneficiaries in 27 counties in the U.S. can choose from 75 or more MA plans.

Much innovation in the LTSS system has originated at local levels and later reached the national level after testing and support from the government, foundations and others. A new paper reviews five innovative LTSS programs to explore how they were successfully scaled up and implemented in more places. This report builds on the widely accepted model for understanding the expansion of an innovation developed by sociologist E.M. Rogers, who coined the phrase “early adopter.” Its five recommendations adapt Rogers’s framework to selecting and promoting LTSS innovations.

On Friday, October 28, 2022, CMS issued a final rule that simplifies Medicare enrollment and eligibility rules, extends coverage of immunosuppressive drugs for certain beneficiaries, and finalizes changes to improve state payment of Medicare premiums. Beginning January 1, 2023, individuals applying for Medicare premium Part A and Part B during the last three months of their Initial Enrollment Period or during the General Enrollment Period will have their coverage start the month after they enroll, reducing delays in coverage. The rule also allows certain Medicare special enrollment periods (SEPs) to permit Medicare Part B coverage without a late enrollment penalty.

This week CMS issued a final rule for the Calendar Year 2023 Physician Fee Schedule which includes updates and policy changes for Medicare payments and other Part B issues. Some of the changes include expanding access to behavioral health services by allowing certain health practitioners to provide and manage a beneficiary’s behavioral health needs; extending several telehealth services that are temporarily available for the COVID-19 public health emergency at least through calendar year 2023; and clarifying payment for dental examinations and treatments in more circumstances, such as prior to organ transplants and certain cardiac procedures beginning in calendar year 2023.

Findings from the University of Michigan National Poll on Healthy Aging demonstrate the importance of providing support to caregivers. More than half of people age 50 to 80 say they helped at least one person over 65 with their health or personal care needs, meals, finances, or home maintenance/improvement in the past two years, according to new findings. While nearly all helpers (96%) reported positive aspects of supporting others, a quarter said it was more difficult than they expected, especially for those helping with more care tasks or helping someone with mild cognitive impairment or Alzheimer’s disease/other dementia.

KFF’s new state Medicaid budget survey anticipates Medicaid enrollment will begin to decline in FY 2023, following the end of the COVID-19 public health emergency (PHE). The 22nd annual survey finds that states expect growth in Medicaid enrollment to slow to 8.4 percent in FY 2022 (down from 11.2 percent the previous year) before declining by 0.4 percent in FY 2023.