Assessments

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HHS Could Enhance Support for Grandparents and Other Relative Caregivers

This report analyzes the challenges grandparents and older relatives face as primary caregivers. The report outlines the numbers of grandparent and older relative caregivers, and the reasons for this care. It also examines how HHS supports state efforts to use federal programs and initiatives to assist these caregivers. GAO concludes the report by making recommendations for how HHS could improve the sharing of information and best practices about older caregivers with states.

Short URL: http://www.advancingstates.org/node/72118

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NASBO 2019 State Expenditure Report

This updated annual report examines spending in the functional areas of state budgets and includes fiscal 2017-2019 data. The report looks at spending in the areas of elementary and secondary education, higher education, public assistance, Medicaid, corrections, transportation, and all other. It includes state-by-state breakdowns, highlights data on capital expenditures by program area, and reviews revenue sources.

Short URL: http://www.advancingstates.org/node/71836

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Financial Alignment Initiative Washington Health Home MFFS Demonstration: Second Evaluation Report

This report uses a variety of data sources to analyze the impact of the Washington Health Homes demonstration. The Washington Health Homes MFFS demonstration leverages health homes to integrate care for high-cost, high-risk full-benefit Medicare-Medicaid enrollees. This report addresses the demonstration’s approach to integrating the Medicare and Medicaid programs; providing care coordination to enrollees; enrolling beneficiaries into the demonstration; and engaging stakeholders.

Short URL: http://www.advancingstates.org/node/70959

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Report for Washington Health Home Managed Fee-for-Service (MFFS): Final Demonstration Year 2 and Preliminary Demonstration Year 3 Medicare Savings Estimates

This report summarizes the Medicare Parts A & B actuarial savings analysis of the Washington managed fee-for-service (MFFS) demonstration for 2015 and 2016. The Washington Health Home MFFS demonstration aims to improve service quality and integration while reducing costs of care for high-risk, high-cost dually eligible beneficiaries. For 2015, Washington demonstrated a final gross Medicare savings of $30 million. The preliminary gross Medicare savings for 2016 are $42 million.

Short URL: http://www.advancingstates.org/node/70922

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Has the Promise Been Kept? Federal Enforcement of Disability Rights Laws

This report assesses the degree to which the Equal Employment Opportunity Commission and the U.S. Access Board have addressed the recommendations issued in the 2000 NCD report, "Promises to Keep: A Decade of Federal Enforcement of the Americans with Disabilities Act". NCD also uses the framework developed in this previous report to evaluate how various agencies implement and enforce the Americans with Disabilities Act and other federal disability rights laws and programs.

Short URL: http://www.advancingstates.org/node/70860

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Possible State Intervention Options to Serve Transition-Age Youths: Lessons from the West Virginia Youth Works Demonstration Project

This bulletin examines the West Virginia Youth Works intervention, which was funded as part of the Youth Transition Demonstration (YTD). This specific program was one of the six sites examined in the Social Security Administration's full YTD evaluation. This bulletin evaluates the effects of the Youth Works program and serves as a potential case study for other states interested in expanding services to youths with disabilities.

Short URL: http://www.advancingstates.org/node/70847

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Three-Year Effects of the Youth Transition Demonstration Projects

This Social Security Bulletin evaluates the effects of the Youth Transition Demonstration (YTD) from 2005-2014. This evaluation used participant surveys and administrative data from 5,103 individuals in six project sites to measure the effects of YTD one and three years post enrollment. The analysis found statistically significant positive impacts on employment rates in three sites during the third post enrollment year.

Short URL: http://www.advancingstates.org/node/70846

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