Policy alerts, briefs, letters & papers

This brief reviews Medicaid’s importance and limitations when it comes to long-term care and makes the case for strengthening Medicaid’s safety net in one of two ways—assumption of full federal responsibility for Medicare beneficiaries who also rely on Medicaid (so-called “dual eligibles”) or an enhanced federal match for Medicaid long-term care services.

One priority for an aging America is to enable older adults to live independently in their homes and communities. For those with limited income or resources, benefits can be a critical resource to receive support and avoid institutionalization. Many miss out on benefits due to lack of awareness, perceived complexity of applications, stigma, & misunderstanding eligibility. The You Gave, Now Save campaign connects eligibles with free & low-cost resources: BenefitsCheckUp & the Eldercare Locator.

This issue brief looks at issues related to the development and implementation of managed care programs with the capacity to serve Medicaid beneficiaries with disabilities. Drawing on existing research on Medicaid managed care and people with disabilities, the brief highlights policy considerations related to setting plan payment rates, developing adequate provider networks and delivery systems, and ensuring sufficient beneficiary protections and plan oversight.

The 9 million individuals enrolled in both Medicare and Medicaid often receive care that is fragmented, poorly coordinated, and high-cost. Integrating their care is difficult because of the challenges associated with aligning the programs' financial incentives and reimbursement processes. This brief explores considerations for establishing reimbursement rates and performance incentives for the capitated and managed fee-for-service financial models.

There are 10 common themes in this summary from the written work of 10 authors of caregiving books. There are 4 areas highlighted at the Forum in which public policies and communities can respond to the needs of family caregivers: greater public education and awareness; more financial relief; better communication, coordination, and collaboration with health care professionals; and heightened recognition of and support for family caregivers in policy initiatives.

Families USA released their latest brief that helps advocates understand the basics of Accountable Care Organizations (ACOs) and their potential for improving patient care. The brief includes the basics, payment and quality measurements, determining shared savings and losses, and beneficiary assignment and notification processes.

The focus of this issue brief is on issues of suicide, anxiety and depression, prescription drug misuse and abuse, and alcohol abuse. The target audiences are the local and State Aging Services Network, behavioral health community, and substance abuse providers. The Issue Brief series will identify key information and opportunities for action that can improve the lives of older Americans. It emphasizes the importance of using partnerships to implement and sustain effective services.

Despite decades of increases in program participation and spending, the disability support infrastructure in the United States and the economic independence of people with disabilities have eroded. Rather than tighten eligibility or reduce program benefits, this issue brief proposes gradual programmatic reforms and evidence-based structural changes to improve the economic status of Americans with disabilities.

This bulletin provides information that CMS hopes will be helpful to States as they work to implement section 3309 of the Affordable Care Act which eliminates Part D cost-sharing for full benefit dual eligible individuals receiving home and community-based services. The effective date for Section 3309 is January 1, 2012.

This brief describes key features of Georgia’s MFP program & highlights recent experiences. Through MFP, Georgia has achieved a 2 percent growth in annual spending on home & community-based services. With the extension of MFP under the ACA, the state plans to continue the program through 2016 with hopes to transition more than 2,000 individuals with the help of over $93 million in enhanced federal matching funds. Also, review brief profiles on several Georgia residents enrolled in the program.