Data

Does providing Medicaid long-term supports and services influence dually eligible Medicaid recipients’ use of Medicare? Third in a series, this report is intended to provide background information on the interplay of Medicare and Medicaid resources using data from one state (Maryland) as an example for analysts who are examining similar issues at state and federal levels.

Many assume that most of the long-term care population is elderly. Not so, according to this study. About half of community-dwelling Americans needing long-term care are younger than sixty five. Research and data collection focusing solely on older adults with long-term care needs misses half of the story. Recommendations of the study include a redistribution in long-term care spending from institutional to non-institutional settings, and from agencies to independent providers.

What health cost and health condition differences exist between employed caregivers of elderly relatives and non-caregivers? What is the cost differential for employers in terms of health care for working caregivers and other employees? This study, a collaborative project of the MMI, NAC, and the University of Pittsburgh, answers these questions and offers new insights and innovations for reducing health care costs for employers.

Link to a public-use data file and to supplementary files containing information about the data collection process and resources to help analyze the numbers. The technical notes file contains information on how the medication data were collected and processed. The data dictionary gives the layout of the 534 variables in this file. The other files provide information to help users search for medications by brand and generic names, and analyze the medication data in the file.

Read this study that found two significant supportive factors for older adults to remain in communities were use of paid instrumental activities of daily living (IADL) personal care services and awareness of unmet needs. Findings suggest the importance of encouraging older adults to acknowledge their unmet needs and to seek community-based support services early, rather than wait until they have developed more serious needs.

About 3.7 million elderly persons fell below the poverty level in 2008, and Social Security constituted 90% or more of the income received by 35% of all Social Security beneficiaries according to a report from the US Administration on Aging. Read this report to find more statistics and information on this population.

This series of chart books summarizes demographic, service utilization, and expenditure data for state fiscal years 2001 through 2008 on three Maryland Medicaid waiver programs — Older Adults, Living at Home, and Autism, and on nursing facility utilization among Maryland Medicaid recipients. These books are now available to the public online to monitor trends in these programs.

This report and tables present Medicaid 1915(c) Home and Community-Based Services (HCBS) Waiver expenditures data from Federal Fiscal Years 2003 through 2008. Each HCBS waiver is classified by population served in order to show the distribution of expenditures across long-term care populations. This report includes new target population categories to identify waivers that target particular developmental disabilities such as intellectual disabilities and autism spectrum disorders.

This report presents Medicaid long-term care expenditures data in Federal Fiscal Year 2008 (Oct 2007 - Sept 2008). Table 1 shows national data from 1996 - 2008. Other tables present state-by-state data for nursing homes, ICF/MR, state plan personal care, state plan home health, 1915(c) waivers, 1115 waivers that provide HCBS, and other Medicaid services.

Developing HCBS alternatives to institutional care has been a priority for many state Medicaid programs over the last three decades. While the majority of long-term care dollars still go toward institutional care, the national percentage of spending on HCBS has more than doubled from 19 percent in 1995 to 41 percent in 2007. This article presents a summary of the main trends to emerge from the latest (2006) expenditures and participant data for the three main Medicaid HCBS programs.