Aging/Older Adults

This brief by Stephen Kaye, Ph.D., published a paper setting out his analysis of mortality risk among recipients of home and community-based services. He finds that HCBS recipients between 45 and 64 years of age appear to be at greater mortality risk than the general community-resident population between 65 and 74 years of age. He concludes that this elevated mortality risk justifies increasing the vaccination priority for HCBS recipients under age 65 to equal that of the

Attorney General of New York, Letitia James (AG), released a preliminary report on the effect of COVID-19 on nursing homes in New York. The report found that pre-existing short-staffing issues were a defining factor in how a great number of nursing homes in New York fared during the first six months of the COVID-19 pandemic. Consumer Voice for Quality Long-Term Care also released a report detailing harm and neglect resulting from facilities being locked down and inadequate staffing.

This issue brief is the second publication from the ADvancing States Aging and Disabilities Technology Workgroup, which was established in 2019 in order to drive improvements in aging and disabilities state agencies’ information technology (IT), facilitate sharing and learning among states, and assist states as they seek to implement and integrate technology that supports holistic person-centered services.

Resources for Integrated Care (RIC) invites you to explore three new resources related to engaging members in plan governance. These resources are based on feedback from participants in the 2020 Resources for Integrated Care Community of Practice.

ACL awarded the $175 million for Nutrition Services and Native American Nutrition and Supportive Services to enhance ongoing community efforts begun with the support of previous COVID-19 supplemental appropriations.

The Oklahoma Department of Human Services (OKDHS) serves over 18,000 elderly and disabled members though its Medicaid waiver program. Oklahoma’s previous paper-based system caused wait times for consumers to enroll and to receive services. With the implementation of WellSky Human Services, Oklahoma took advantage of the system’s conditional logic capabilities to capture additional information on an assessment form when needed.

The NIDILRR-funded Rehabilitation Research and Training Center on Promoting Healthy Aging for People with Long-Term Physical Disabilities recently published a health policy brief on state responses to the social isolation and loneliness faced by adults with disabilities during the COVID-19 pandemic.

Prior work has shown that home health providers strategically provided therapy visits and recertified episodes in order to maximize payment under traditional Medicare (TM). However, Medicare Advantage (MA) has more flexibility in terms of how they pay for home health care. This mixed-methods study examines changes in patterns of post-acute and community-admitted home health care use between 2011 and 2016, focusing on differences between MA and TM and across MA contract types.

On January 19th Centers for Medicare & Medicaid Services (CMS) released the Medicaid LTSS Annual Expenditures Report for Federal Fiscal Years (FFY) 2017 and 2018. This report discusses the LTSS rebalancing trends and growth in expenditures for home and community based services (HCBS) as compared to institutional spending during these select years.

In this blog post, ACAP and CHCS share survey results that detail how Community Affiliated Plans (ACAP), including Dual Eligible Special Needs Plan (D-SNP) and Medicare-Medicaid Plans, are addressing existing and new health-related social needs of their dually eligible enrollees during the COVID-19.