Aging/Older Adults

The Community Living Policy Center reviewed the effects of the Better care Reconciliation Act (BCRA) should it pass. Upon review, they conclude that had it been implemented in the mid-2000s then it would have reduced Federal reimbursments becuase of the proposed caps.

University Center for Children and Families (CCF) and the University of North Carolina NC Rural Health Research Program (NC RHRP) studies the effects of Medicaid on rural areas and small towns as opposed to dense metropolitan areas. Since the implementation of the ACA, those who are covered by insurance have noticeably increased the number of Americans who are insured.

The National Association of State Budget Officers has a semi-annual report, with data gathered from all 50 state budget offices, that provides a narrative analysis of the fiscal condition of the states and data summaries of state general fund revenues, expenditures, and balances. The spring edition of the survey of the states details governors' proposed budgets.

This report provides a comprehensive analysis of senior population health on a national and state-by-state basis across 34 measures of senior health. The 2017 edition is the fifth publication of this report, which continues to serve as a benchmark of senior health for individuals, community leaders, policymakers, media and public health professionals.

Value-Based Payment (VBP) are alternative payment models that reward high-quality, cost-effective care. While many Medicaid state programs are developing VBP systems for physical health services, they have not made such advances in Medicaid behavioral health care services. The Center for Health Care Strategies’ (CHCS) brief, produced with the California Health Care Foundation, details how five states are innovating their Medicaid managed care organizations through VBP models.

This report provides a multidimensional look at state performance for the delivery of long-term services and supports (LTSS), based on a uniform set of performance measures and how performance has changed over time. It also includes the role that housing and transportation play in assisting older adults, people with physical disabilities and their family caregivers, as well as promising practices and emerging innovations to foster greater information exchange.

Mathematica Policy Research recently released their Money Follows the Person 2015 Annual Evaluation Report. This report provides basic information about the program, as well as how the program has grown and changed since transitions began in 2007. The Annual Evaluation Report also discusses estimates of program outcomes and is the basis for a report to congress.

This report proposes jobs for caregivers that would help alleviate two national concerns for caregivers: the need for quality employment and the need to still act as caregivers. It discusses ways to promote the well-being of older adults, individuals with disabilities, children, and their families by laying the framework for opportunities to improve the quality and increase the quality of caregiving employment to create jobs that meet family caregiving needs.

On May 26th, 2017 the Congressional Research Service released their report on H.R. 1628: The American Health Care Act (AHCA) that was passed in the House on May 4th, 2017. This report provides an overview of all the AHCA provisions. It also discusses how the bill includes a number of provisions that would repeal or modify parts of the Patient Protection and Affordable Care Act.

In recognition of a lack of reliable and robust information on the value of state managed long-term services and supports (MLTSS) nationally, this report aims to partially fill the gap with data and evidence from a survey of state agencies and a review of relevant outside research, and to also serve as a jumping off point for future study.