Policy alerts, briefs, letters & papers

On Monday, August 22, 2022 CMS released the Money Follows the Person (MFP): Updated State Transitions annual report for calendar years 2017 to 2020. The MFP demonstration, established by Congress through the Deficit Reduction Act of 2005, enables state Medicaid programs to help Medicaid beneficiaries who live in institutions transition into the community, and gives people with disabilities and older adults more choice in deciding where to live and to receive long-term services and supports. From the time transitions began in 2008 to the end of 2020, states had transitioned 107,128 people to community living through MFP. The brief shows how MFP transitions varied by state and target population over time.

This brief highlights key lessons to inform data-sharing partnerships between community-based organizations, state agencies, and individuals with lived expertise. Lessons draw from the experiences of participants in Learning and Action in Policy and Partnerships, a national initiative supporting community-based data-sharing efforts led by Data Across Sectors for Health in partnership with the Center for Health Care Strategies through support from the Robert Wood Johnson Foundation.

Patient and staff-reported measures are a key way to assess the quality and experience of care for people with complex needs. CHCS worked with health care organizations to test new measures for understanding patient and staff experiences related to well-being, equity, goals of care, and care integration. This brief explores insights from the Center for the Urban Child and Healthy Family at Boston Medical Center, Hill Country Community Clinic, and Denver Health, which used these measures to assess quality within their organizations.

Workforce Affinity Group

ACL has released a new brief, Leveraging Innovation, Collaboration, and Data with Assistive Technology to Reduce Social Isolation and Loneliness: Success Story from Illinois. This brief highlights a model and innovative partnership at both the federal and state levels that successfully purchased and distributed technology devices to older adults and people with disabilities served by local agencies in order to reduce social isolation and loneliness.

Several states are seeking ways to effectively address the health, economic, and social challenges experienced by family caregivers, especially those from marginalized communities. This brief outlines practical strategies to identify and reach family caregivers used by cross-sector state teams participating in Helping States Support Families Caring for an Aging America, a CHCS initiative made possible by The John A. Hartford Foundation and the Michigan Health Endowment Fund.

This Policy Spotlight describes Medicare’s Wellness Visits, current approaches to provide this benefit to Medicare beneficiaries, challenges related to access, and opportunities for the Aging Network. This brief also presents policy and programmatic recommendations to improve the effectiveness of Wellness Visits.

This brief outlines lessons from the Center for Health Care Strategies’ MassHealth Care Planning Learning Collaborative, where Massachusetts Accountable Care Organizations and Community Partners integrated care planning across their organizations to improve care for Medicaid members with complex needs. This brief can inform providers, payers, and community partners in other states seeking to improve care for people with complex health and social needs.

This research brief synthesizes the latest available information and research relating to the mistreatment of adults with disabilities (AWD). This brief addresses the intersection of AWD and elder mistreatment and provides information about risk factors, national survey findings, intimate partner violence (IPV), adults with intellectual and developmental disabilities (IDD), barriers to reporting and help-seeking, and recommendations for intervention.

ADvancing States is pleased to announce the release of a new issue brief, Addressing Nursing Facility Financing Challenges during MLTSS Program Development developed in collaboration with Milliman. This brief is intended to shed light on the complex and often-misunderstood relationship between nursing facility financing and Medicaid delivery system design.