Comparison Table, Matrix or Chart

This budget analysis compares the degree to which the aging of the population and rising health care costs, as well as the interaction of the two factors, will contribute to an overall increase in the federal spending on Medicare and Medicaid as a portion of the GDP. Using four different scenarios, it finds that a significantly larger portion of this increase will come from rising health care costs rather than aging.

A reader can use this report to better understand proposed rule changes regarding which TCM services are eligible for federal financial participation. Various perspectives on the changes are presented. Several tables and graphs illustrate past and projected TCM expenditures. Prompted by the Americans with Disabilities Act, CMS issued the interim rule in order to limit the growth of TCM costs. Current proposed legislation would delay rule implementation until April 1, 2009.

Find within this resource state-by-state statistics on demographics, Medicaid, Medicare, and health insurance coverage. Of special interest are the data on Medicaid expenditures broken down by recipient type and service environment (HCBS vs. nursing home). Limited data are also given for Puerto Rico and the U.S. Virgin Islands.

The author reviews international scholarly literature and case studies to identify four frameworks of integrated care for the elderly. The frameworks are summarized and compared based on underlying philosophy and policy, administrative and clinical best practices, and how they propose integration of different services. The review also highlights four key elements that are present in each framework and must be structured to support one another.

This annual report by Genworth Financial provides detailed information on the cost of long-term care (LTC) in the U.S. Current costs and historic trends are identified and organized by state, setting of care, and type of service provider. The website includes interactive state maps and further information on private funding options for LTC.

This fact sheet summarizes and analyzes direct-care workforce statistics from the U.S. Dept. of Labor’s national occupational projections for 2006-16. The analysis shows that demand for workers will sharply exceed supply. Demand will especially surpass the number of women aged 25-54 entering the workforce, which is the primary demographic group from which direct-care workers are drawn. The analysis also shows that twice as many people will be working in HCBS settings than in facilities.

This website, from the Institute for Community Inclusion, generates customized charts of state and national disability employment data. It currently includes data sets from state mental retardation/developmental disabilities agencies, the Rehabilitation Services Administration, Social Security Administration, and US Dept. of Labor. Users can compare up to three states variables or download raw data sets. Posted here is a Data Note detailing state expenditures for integrated employment services.

As an evidence-based practice, supported employment provides people with mental health diagnoses a mainstream job paying at least minimum wage in a setting which provides ongoing support and includes other people who are not disabled. Find a training for professionals embarking on conversion from day treatment to supported employment for persons with mental health issues and baseline calculations by which to begin measuring the effectiveness of this conversion.

The CPASS Hawaii project identified stakeholders, particularly people with developmental disabilities and their families, willing to participate in collaborative efforts towards systems change. This report will elaborate on the accomplishments of the project related to their 5 goals including barriers and areas of success, as well as further recommendations. Also included are two matrixes summarizing accomplishments and training efforts, a demonstration report and an evaluation summary.

ADRCs have used a number of strategies to streamline access to long-term services and supports. One key strategy, used by many ADRCs, is to provide online applications for Medicaid or screening tools to assess eligibility for benefits. This issue brief provides details about ADRC grant efforts related to online applications. The report details both advantages and challenges plus provides a case example for South Carolina.