Aging/Older Adults

The Medicare Board of Trustees released their annual report to Congress on the financial operations and actuarial status of Medicare on July 22, 2015. The report included a projection indicating that the trust fund will remain solvent until 2030, which is 13 years longer than the 2009 prediction. Medicare covered 53.8 million people last year and the report provides a break down of the expenditures of each individual part of Medicare and its overall cost.

The white paper examines the impact that managed care organizations can have on cost and quality of care for older adults and people with disabilities. The National Council on Disability found that MCOs can lower the costs of services for these populations. However, MCOs must face the challenge of training staff on person-centered planning and competency for the quality of care to genuinely increase. This provides an analysis of the positives and negatives of MCOs and where to move from here.

The Associated Press-NORC Center for Public Affairs Research conducted a study to examine the policy issue of long term care and its financing. This research investigated the awareness, attitudes, and understanding of long term care by Americans over the age of 40 through three different studies. The studies have explored diverse issues surrounding long term care like the caregiving experience, person-centered care experiences, and opinions on long term care policy.

The National Association of Area Agencies on Aging (n4a) released a report on the Eldercare Locator, a national information and referral resource, funded by the Administration on Aging, that provides assistance to older adults and caregivers. The report draws on data from the locator, breaking the data into different categories.The trends in this data reflect information gathered from 271,234 contacts made with the Eldercare Locator.

The Henry J. Kaiser Family Foundation released an issue brief reviewing the national and state-level Medicaid Advantage enrollment trends as of March 2015. It was believed that the reductions in payments to Medicare Advantage plans would reduce enrollments, but it has actually increased by 5.6 million. One key finding showed that "Almost one in three (31%) of people on Medicare (16.8 million beneficiaries) were enrolled in a Medicare Advantage plan in March 2015."

The AARP Public Policy Institute released a new report conducted by Truven Health Analytics. The two part study examined Medicaid Managed Long Term Services and Supports program contracts in 18 different states for older adults and people with physical disabilities and case studies of new care coordination models in Ohio and Illinois. The findings indicate that states need care coordination and that these care coordinators provide crucial support for consumers and their family caregivers.

Mathematica Policy Research published a report examining the relationship between the primary impairments of Social Security disability beneficiaries and the employment and earning experiences of the beneficiaries. The report can inform policymakers on innovative ways to assist beneficiaries in becoming self-sufficient and gaining employment. The researchers found considerable differences in employment and earning across the primary impairments studied.

The UnitedHealth Center for Health Reform and Modernization released a new brief. Many Americans do not have health insurance coverage, and Medicaid enrollment can cover the gap of the uninsured, if successful practices are used. This brief highlights four approaches used in Kentucky and Arkansas to increase enrollment for low-income residents to cut their uninsured populations in half. The solutions in this brief can inform other states on efforts to decrease the number of uninsured people.

The U.S. Department of Health and Human Services report and the white paper commissioned by the National Interprofessional Initiative on Oral Health both examine the wide disparities in oral health due to lack of access. The U.S. fails to provide proper access for ongoing and preventative oral health care needs. A push must be made to integrate dental care as a component of primary care. There is also a focus on the impact and burden of oral diseases and their effect on quality of life.

The second annual report to Congress examines the services utilized by Medicaid's behavioral health beneficiaries. The findings indicate that low-income children have high levels of unmet need in the mental health care arena. Additionally, the review of Medicaid's dental coverage found considerable variation between states, particularly for services provided to adults. The report findings illustrate the potential directions for change to improve care for beneficiaries.