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Presentation from the 2017 HCBS Conference on "Priority Measures of Quality in LTSS: NCI™ & NCI-AD™".

Demonstrating value through the quality of your AAA or CBO services can be an effective way to build and expand new business relationships. This presentation, part of n4a’s 2017 annual conference, focuses on the types of measures you can easily report on, and also how you can provide upstream benefits by impacting the measures that health plans must report on and be evaluated by.

To understand both the needs of people who use long-term services and supports (LTSS) through Medicare and Medicaid coverage and ways to apply quality measurement to this population, the National Committee for Quality Assurance (NCQA), supported by The SCAN Foundation, developed a roadmap for evaluating the quality of integrated care for dual eligibles.

This issue brief reviews the structure of the prescription drug benefit in Medicaid and the traditional policy levers states have used to control drug spending. It also describes state strategies to contain costs, such as efforts to obtain greater rebates, actions concerning generic drugs and biosimilar alternatives, transparency laws and new efforts to draw on federal resources.

This report describes the current state of the direct support professionals (DSP) workforce as a crisis. DSPs promote participation in the U.S. economy, and yet the average DSP wage is $10.72, most work two or three jobs, and the average annual DSP turnover rate is 45%. This report explores how these issues affect individuals, families, and human services systems; the factors that contribute to these issues; and promising practices to strengthen the direct support workforce.

The Institute on Disability has released the latest Annual Disability Statistics Compendium and Report. The Compendium includes many tables of data, including state and national values and trends over time. The Annual Report highlights state and trend data, and complements the detailed tables available in the Compendium & Supplement. The Annual Report includes maps to highlight the variability in disability rates by state, and each map is related to a specific table from the Compendium.

This annual report from Cornell University provides a summary of the most recent demographic and economic statistics on the non-institutionalized population with disabilities. The report includes information about the population size and disability prevalence for various demographic subpopulations. Statistics related to employment, earnings, household income, veterans' service-connected disability and health insurance are also included.

This report examines state and federal oversight of assisted living services in Medicaid. Individuals receiving long-term care services from Medicaid in community residential settings is expected to grow. This report describes state spending on and coverage of these services; describes how state Medicaid agencies oversee the health and welfare of beneficiaries in these settings; and examines the extent that CMS oversees state Medicaid agency monitoring of assisted living services.

CMS regularly reports data on health plan enrollment, quality, and compliance that states can use to monitor the performance of the Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) they contract with to serve Medicare-Medicaid enrollees. This technical assistance tool shows how states can use these data to create tables, graphs, and figures and interpret their meaning in order to assess D-SNP performance.

The CMS Medicare-Medicaid Coordination Office (MMCO) regularly reports data on Medicare-Medicaid enrollee demographics, service utilization, spending, and other characteristics that can give states a more comprehensive view of this population. This tool shows states how to use these data to create tables, graphs, and figures and interpret their meaning for a wider audience of stakeholders.