Aging/Older Adults

A new article from the Centers for Health Care Strategies explores a new effort to improve and align care across California Medicaid. The article explores racial disparities in access to and quality of LTSS, integration of dually eligible individuals, and more.

On Tuesday, February 21, 2023 The Association of Community Affiliated Plans, Medicaid Health Plans of America, and Sellers Dorsey released their highlights from the 2022 State of Medicaid Managed Care Report. The report covered five core areas of managed care across the country, the current state of managed care, the history of federal regulations and key changes, effective approaches from six states, innovations and successes from MCOs, and outcomes stemming from managed care.

The Aging and Disability Business Institute in partnership with AgeSpan released their newest case study, an exploration of evidence based programs in New England to promote health and wellbeing. The report examines the multistate network of Area Agencies on Aging brought about a collaborative approach to deliver new evidence-based programs and maintaining community connection.

CMS recently released a proposed National Coverage Determination (NCD) decision that would, for the first time, expand coverage for power seat elevation equipment on certain power wheelchairs to Medicare individuals. The proposed NCD is open for public comment for 30 days and will end on March 17, 2023. If finalized, power seat elevation equipment would be covered by Medicare for individuals with a Group 3 power wheelchair, which are designed to meet the needs of people with Medicare with severe disabilities, to improve their health as they transfer from the wheelchair to other surfaces.

On Monday, February 13, 2023, Justice in Aging released a fact sheet on what advocates can do to ensure that dually eligible older adults can do to avoid disruptions in care when Medicaid public health emergency flexibilities end. The sheet provides further information on the “unwinding” process and state partners to address specific challenges that face the dually eligible population.

ADvancing States is pleased to announce the release of a new report, Advancing Equity through MLTSS Programs, co-authored with Impact 120. This report highlights the numerous ways that managed long-term services and supports (MLTSS) programs can enhance state capacity to create more equitable programs for consumers. Research and interviews identified five key themes, which are explored in detail with recommendations for future action.

Yesterday the Centers for Medicare & Medicaid Services (CMS) announced next steps describing how the agency will implement the new Medicare Prescription Drug Inflation Rebate Program, including a timeline of key dates. As part of the Inflation Reduction Act (IRA) of 2022 (P.L. 117-169), the Medicare Prescription Drug Inflation Rebate Program requires drug companies to pay a rebate to Medicare if they raise prices for certain drugs faster than the rate of inflation. Based on a 12 month period starting October 1, 2022, drug companies will be required to pay rebates to Medicare for raising prices that outpace inflation on certain Part D drugs.

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.

The Center for Health Care Strategies released a blog post covering best practices and advice for creating a multidisciplinary and multi sector plan for aging. The post was authored by Kim McCoy Wade, senior advisor of Aging, Disability, and Alzheimer’s to the California governor. The post dissects the planning process for creating a multi sector plan for older adults and people with disabilities and how to work with multiple stakeholders all vying to reach the same goal.

KFF released a brief “What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access” (January 31, 2023) that the describes the major health-related COVID-19 emergency declarations made by the federal government since January 2020, and the flexibilities resulting from the declarations. The areas covered in the brief include coverage, costs, and payment for COVID-19 testing, treatments, and vaccines; Medicaid coverage and federal match rates; and telehealth, among other provisions. According to KFF, the list does not include all federal policy and regulatory provisions made in response to COVID-19 emergency declarations.