ADvancing States

Millions of Americans are experiencing social isolation and loneliness, which has a significant impact on health and wellbeing. Studies have demonstrated life longevity, physical, and mental health conditions are all negatively impacted when an individual is socially isolated or lonely.1 Social isolation and loneliness are also costly issues, with significant economic impacts. A 2017 study identified an estimated $6.7 billion in additional annual federal spending for Medicare due to a lack of social contacts among older adults.2 For these reasons, social isolation is emerging as a preeminent health and social policy issue.

The State Medicaid Integration Tracker© is published by ADvancing States and focuses on the status of the following state actions: Managed Long-Term Services and Supports (MLTSS), State Demonstrations to Integrate Care for Dual Eligible Individuals and other Medicare-Medicaid Coordination Initiatives, Other LTSS Reform Activities, including: Medicaid State Plan Amendments under §1915(i), Community First Choice Option under §1915(k), and Medicaid Health Homes.

This report is the most comprehensive and representative assessment of self-reported outcomes among older adults and people with physical disabilities receiving publicly funded LTSS since 2018. These data were collected from 13,663 people between June 2021 and July 2022. The sample includes individuals from 15 regionally representative states and a variety of LTSS programs, including: Medicaid HCBS, Nursing Facilities, and Older Americans Act recipients.

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.

ADvancing States, with support of the National Council on Aging or NCOA, is pleased to release an issue brief on the NWD System initiative describing the fundamentals of NWD Systems and state partnerships with community-based organizations.

ADvancing States presentation at the NAPSA Conference on Medicaid and Adult Protective Services.

This infographic has facts and statistics about programs serving older adults and the experiences of older Americans.

ADvancing States is pleased to announce the release of a new issue brief, Addressing Nursing Facility Financing Challenges during MLTSS Program Development developed in collaboration with Milliman. This brief is intended to shed light on the complex and often-misunderstood relationship between nursing facility financing and Medicaid delivery system design.

This infographic has facts and statistics about the experiences of Americans with disabilities throughout their lives.

The ADvancing States, in partnership with the National Alliance for Caregiving, created an infographic that depicts an overview of statistics on the experiences of caregivers in the United States, documenting their growing contributions to providing care to older adults and persons with disabilities in light of limited resources for caregiver services.