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Medicaid-A Primer: Key Information on Our Nation’s Health Coverage Program for Low-Income People

Integral to the coverage framework laid out in the reform law is a dramatic expansion of the Medicaid program. This primer provides key information about the program today, including a definition of what it is, who and what services are covered, Medicaid expenditures and how they are financed, and information of how health reform reshapes the program for the future.

Short URL: http://www.advancingstates.org/node/52606

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Medicaid Long-term Care: The Ticking Time Bomb – Issue Brief

According to the authors, transforming Medicaid’s LTC programs is an urgent priority given states’ challenging fiscal environment. Based on this paper’s model, more than 35 percent of a state’s budget will be needed for Medicaid by 2030, of which half will be for LTC services. The brief examines Medicaid expenditures for LTC, in both institutional and community settings, and presents ideas for consideration for states to transform their programs to help address budget constraints.

Short URL: http://www.advancingstates.org/node/52597

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Chronic Care: Making the Case for Ongoing Care

An update to the Robert Wood Johnson 2002 chartbook examines the impact of chronic conditions on individuals and their caregivers, and the inadequacies of the U.S. health care system to meet their needs. According to the author, care for people with chronic conditions is not coordinated, leading to unnecessary service use. Included among his recommendations is the encouragement and support of patient self-management and family caregiving. Also attached is a presentation with supporting data.

Short URL: http://www.advancingstates.org/node/52587

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Medicaid Coverage and Spending in Health Reform

Find national and state by state estimates of the increases in coverage and the associated costs compared to a baseline scenario without the Medicaid expansions in health reform. Findings show there will be large increases in coverage and federal funding in exchange for a small increase in state spending. Since it is impossible to predict the behavior of each state, the analysis examines two participation rate scenarios differing in the strength of outreach and enrollment efforts.

Short URL: http://www.advancingstates.org/node/52583

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Coverage for Consumers, Savings for States: Options for Modernizing Medicaid

Explore Medicaid expansion under health care reform and savings for states through Medicaid “modernization.” This report examines three broad categories of savings opportunities including the greater use of coordinated care techniques, the greater use of managed care for LTC, and the upgrading of Medicaid’s administrative processes. Find national and state-specific projections of increases in Medicaid enrollees as a result of health reform legislation and of the associated Medicaid costs.

Short URL: http://www.advancingstates.org/node/52572

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Providing Health Benefits and Work-Related Services to SSDI Beneficiaries: Six-Month Results from the Accelerated Benefits Demonstration

Explore preliminary results for this demonstration to test whether earlier access to health care and related services to SSDI beneficiaries would lead to improved health, increased employment and reduced reliance on SSDI benefits. The brief describes the sample selected and the impacts on health care use and unmet medical needs. Findings indicate the intervention increased the use of health care services and reduced the reported unmet health care needs of the participants.

Short URL: http://www.advancingstates.org/node/52571

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Transportation Enhancements: A Summary of Nationwide Spending as of FY 2009

Find an estimate for the US of the costs over the next 20 years of providing public transportation to the advancing wave of older adults looking to maintain their independence. Investments recommended to address needs included more bus operator training and consideration of older adults’ needs in route planning and placement of transit stops. Capital enhancements include more low-floor and kneeling buses, improved interior circulation, additional grab bars and other accessibility features.

Short URL: http://www.advancingstates.org/node/52565

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Data Analysis On The PAS Workforce – Interactive Website

Review an analysis of the size and characteristics of the PAS workforce during the period 2005-07. Data is available by state and nationwide and is based on a three-year combined sample of data from the U.S. Census Bureau's American Community Survey. Data include gender, age, ethnicity, birthplace, income, and type of employment.

Short URL: http://www.advancingstates.org/node/52563

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The Starting Point: The Balance of State Long-Term Care Systems Before the Implementation of the Money Follows the Person Demonstration

Review an early assessment of the balance of state LTC systems before the implementation of the MFP demonstration. The authors’ goal was to develop a baseline against which the impacts could be measured as the program matures and evolves. This baseline information is used to identify key differences in the makeup of states’ LTC systems, and the observations suggest that the impacts of the program are likely to differ across states.

Short URL: http://www.advancingstates.org/node/52561

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Transportation: The Silent Need

Review the results of a survey of the nationwide network of Area Agencies on Aging on their knowledge and opinions about senior transportation. The report provides baseline information about AAAs’ involvement in transportation advocacy, planning and service delivery, as well as information about the availability of senior transportation nationwide. The document is the first in a series of reports to be developed focusing on current challenges and new developments that impact senior mobility.

Short URL: http://www.advancingstates.org/node/52560

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