Quality

Ranking Member Tim Scott (R - S.C.) sent a letter to the Centers for Medicare and Medicaid Services (CMS) calling for improvements in Medicaid HCBS. The letter asks CMS to describe their efforts to combat fraud and their efforts to create a set of standard quality measures.

The Medicaid Leadership Institute supports Medicaid directors in successfully leading their Medicaid programs to improve key health outcomes and advance health equity. This 10-month leadership development program is recruiting a new cohort of up to six Medicaid directors. Medicaid directors in all states, commonwealths, and territories are eligible to apply. Applications are due July 8, 2021 at 5:00 p.m. ET.

This Mathematica article summarizes some of their key findings from a recent study utilizing NCI-AD data. The study contributes important information to the field of managed care long-term services and supports (MLTSS) and quality outcomes. One finding shares “MLTSS enrollees rated their experience of care and quality of life more favorably than fee-for-service beneficiaries.”

The most recent issue of the Journal of Gerontological Social Work, A Tribute to Rosalie Kane: Honoring Her Life and Work as Scholar, Mentor, and Social Worker in Gerontology, is dedicated to the life and work of Rosalie Kane. Rosalie helped shape much of our current thinking about long-term services and supports (LTSS). The nine articles and commentaries cover topics ranging from the importance of learning participant preferences to the role of "quality of life" measures in evaluating LTSS.

Attorney General of New York, Letitia James (AG), released a preliminary report on the effect of COVID-19 on nursing homes in New York. The report found that pre-existing short-staffing issues were a defining factor in how a great number of nursing homes in New York fared during the first six months of the COVID-19 pandemic. Consumer Voice for Quality Long-Term Care also released a report detailing harm and neglect resulting from facilities being locked down and inadequate staffing.

The Centers for Medicare & Medicaid Services (CMS) issued a final rule that propels innovative technology so Medicare beneficiaries have access to the latest, most advanced devices. This action represents a step forward that will help smooth the Medicare coverage pathway for innovative products, resulting in faster access to new devices for America’s seniors.

APS TARC recently released an issue brief to address approaches and benefits to quality assurance (QA) as well as considerations in developing a QA program. The brief describes the QA process for documentation, supervisor review and approval, case reading, performance management, and program evaluation. Additionally, the brief provides explanations in who to include in establishing a QA process, why it is important to conduct a QA process, what should be reviewed, and other questions.

This resource was developed for human service agency leadership whose role is directing the organization and delivery of services and supports. The five competency domains include: Strengths-Based, Culturally Informed, Whole Person-Focused; Cultivating Connections Inside the System and Out; Rights, Choice, and Control; Partnership, Teamwork, Communication, and Facilitation; and Documentation, Implementation, and Monitoring.

Altarum recently published a special report highlighting the impact COVID-19 restrictions has had on nursing home residents. The report is the result of a survey that directly polled residents about their pandemic experience in 365 nursing homes in 36 states.

This brief draws from interviews with states operating new and long-standing MLTSS programs to identify six major trends in the refinement of MLTSS and underlying LTSS delivery systems nationally. The states examined in this brief are strengthening their Medicaid MLTSS programs to serve more LTSS beneficiaries and facilitate the development of integrated care programs that reduce service fragmentation for Medicare-Medicaid enrollees, particularly through Medicare Advantage D-SNPs