Aging/Older Adults

Presentations from NASHP's 23rd annual conference held October 4-6 in New Orleans are available online. Included are remarks from CMS Administrator Donald Berwick , and presentations such as Health Care Reform: New Options for Rebalancing Long Term Services and Supports, Integrating Care for Dual Eligibles, Reforming State Long Term Services and Supports Programs through Participant Direction, and numerous others. Review the presentations about vital issues in state health policy.

Disability rates among older Americans have declined, and the ways in which community-dwelling older people with disabilities managed their conditions have substantially changed over the 20 years covered by this survey. Among those receiving human assistance, the vast majority were helped by family caregivers, who are increasingly taking full responsibility for providing care. Find detailed analyses of the data in two research reports that provide insight into the factors driving these changes.

State-authorized health plans whose members are qualified to receive both Medicare and Medicaid benefits face administrative challenges. This study examines care management practices in four health plans that serve persons who are dually eligible. The authors describe how health plans operationalize their integrated care management approaches and identify a common framework for integrating care.

Statistics show a significant percentage increase in older persons able to receive LTSS outside of nursing homes, however unnecessary institutionalization is still a routine problem. This report clearly delineates the limitations on progress, including differences in Medicaid structure around nursing home vs. HCBS waiver coverage. The authors recommend specific steps that federal and state governments should take to reduce unnecessary institutionalization.

Access the latest information on health care reform and learn how it impacts seniors and those with disabilities in your community. Resources include new grant releases, updates, fact sheets, blog links, state-by-state reports, CMS guidance and White House.gov links.

Grant awards totaling approximately $2.25 million to 12 states to implement the Lifespan Respite Care Program were recently awarded, adding to the twelve states that received awards in 2009. Lifespan Respite Care programs are coordinated systems of accessible, community-based respite care services for family caregivers of children or adults of all ages with special needs. Find information about the implementation of the program, and learn more about the key activities of each of the grantees.

Dual eligibles comprise only 17% of the Medicare population but represent 28% of Medicare beneficiaries with five or more chronic conditions. Find key facts and analyses on older Americans and long-term care issues. DataBriefs examine health and supportive services and the people who use them, while exploring opportunities to improve care through the implementation of health reform. Each Databrief is offered in the form of a Powerpoint presentation and one page PDF.

Find an analysis of changes the new law makes to Medicaid, Medicare Part D and Medicare Advantage that impact low income individuals in particular. There is also a brief discussion of the coverage expansion and its potential impact on this population. This brief is part of a series of issue briefs prepared by NSCLC which discuss the impact of the new law on low income older adults.

Read two reports about successful initiatives in outreach efforts. One describes how the SSA and Dept. of Veterans Affairs worked collaboratively to improve data exchange and outreach, thus increasing it’s service to the military community. The other examines two lives in Colorado and Arkansas that have improved as a result of provisions in the MIPPA Act of 2008.

Review this updated report describing the overall status of the U.S. population 65 years of age and older. The report includes 37 indicators that are grouped into five sections: Population, Economics, Health Status, Health Risks and Behaviors, and Health Care. It uses data from over a dozen national data sources to construct broad indicators of well-being and to monitor changes in these indicators over time. A Powerpoint presentation of the indicators is available as well as the full report.