Tennessee

This issue brief provides an overview of state agency data systems that are utilized to collect, aggregate, and analyze data for the administration of the Older Americans Act (OAA) programs. This report provides a snapshot of current state systems in 2017, changes to which are impacted by both national and state-level factors.

This paper provides direct insights from managed care leaders about family caregiver supports and provides examples of how progressive managed care plans are supporting family caregivers who are caring for plan members with LTSS needs. The paper discusses how it is important to understand and address family caregivers’ roles and their needs in order to have a high-performing LTSS system, because the family provides the lion’s share of LTSS to people who need help.

This report from Truven Health Analytics describes section 1915(c) home and community based services waiver programs. Over 1.6 million people received section 1915(c) waiver services in 2014; this is a 5 percent increase from 1.5 million in 2013. Furthermore, the number of section 1915(c) waiver participants has increased by an average of 4 percent per year since 2009. Participants received services for an average of 10 months in 2014, as in previous years.

In 2017, ADvancing States administered a survey of state agencies that deliver LTSS, including aging and disability agencies as well as Medicaid programs, regarding the significant policy, fiscal, and operational issues occurring within each state. During the survey, we collected detailed information about the structure of agencies, the supports provided, and the populations served by state programs.

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.

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.

The report highlights the commitment of participating states toward measuring and improving the quality of their long-term services and supports (LTSS) systems that serve seniors and adults with physical disabilities.

On Wednesday, July 20, 2016, the Center for Health Care Strategies, Inc. (CHCS) published a new brief, “State Trends in the Delivery of Medicaid Long-Term Services and Supports.” With support from The SCAN Foundation, seven states (Arizona, California, Kansas, Minnesota, New Jersey, Tennessee, and Texas) were selected to provide insights into current trends in both managed long-term services and supports (MLTSS) program refinement and long term services and supports (LTSS) system reform.