Promising practices

Five innovative states (Arizona, Hawaii, Tennessee, Texas, and Wisconsin) with demonstrated expertise in managed care approaches for individuals with long-term care needs are featured in this report. The resulting “roadmap” outlines 10 critical mileposts for successfully designing models for managed LTSS. It also identifies key ACA provisions that support state efforts to improve long-term care delivery.

A conference was held to inform potential solutions to improve the cost and quality of care across the health care continuum for older Americans. Synthesizing the conference, this report addresses many of the challenges facing individuals with chronic conditions and functional impairments, and identifies new opportunities for the integration of medical services and social supports tailored to older Americans and supported by new payment designs.

Practices featured in the profiles on PHI’s resource website are based on care organizations throughout the country and exemplify their “quality care through quality jobs” philosophy. For most of the organizations, the improved job quality can be directly linked to higher recruitment and retention among direct-care staff. Important elements of the practice, measurable outcomes, and lessons learned are discussed.

What are some of the essential components of Medicaid long-term care programs? This brief, geared towards people working in Medicaid or disability employment, discusses payment for long-term care, range of services, administration, eligibility, functional assessment and rebalancing of long-term care systems. Also find examples of how some states have incorporated aspects of long-term care services and supports (LTSS) into their Medicaid Buy-In (MBI) programs.

Wondering how states are organizing and educating their key vocational and employment-related stakeholders? Attached is the agenda of the Consumer Workforce Development Strategic Workgroup Planning Session II, held as part of Hawai‘s Mental Health Transformation State Incentive Grant. Sections included are group sharing, actionable next steps, and a chance to review purpose and desired outcomes for the day.

Read two reports about successful initiatives in outreach efforts. One describes how the SSA and Dept. of Veterans Affairs worked collaboratively to improve data exchange and outreach, thus increasing it’s service to the military community. The other examines two lives in Colorado and Arkansas that have improved as a result of provisions in the MIPPA Act of 2008.

Find a user-friendly toolkit outlining a community-based planning process to promote healthy aging. The guide includes an overview with key elements of an aging well planning process, step-by-step guides for data gathering activities, case studies of communities addressing these needs, and a resource list of web sites and organizations offering information. Also attached is a related article co-authored by the Center for Civic Partnerships staff.

Innovative applications of technology in Medicaid are highlighted in this series of profiles from varying states. Louisiana, a pioneer in using “Express Lane Eligibility” (ELE) is examined in this report. ELE allows Medicaid and CHIP agencies to use eligibility findings from other public programs to identify, enroll, and recertify participants. Despite a 12% reduction in the Medicaid workforce over the last two years, the volume and quality of service has remained consistent.

Explore innovative initiatives from across the nation offering alternatives for reforming the delivery of Medicaid-funded long-term care. This report includes both innovations that have been implemented as well as promising practices. Innovations included cover provider-focused initiatives, new directions for managed long-term care, administrative and financing solutions; and emerging telehealth technologies.

Discover strategies that were used to successfully engage local leaders and related agencies to host well attended and highly regarded Senior Benefits Expos across Massachusetts. Eight Expos were held across the state to inform and connect people to the programs and services they need, and provide them with the opportunity for on-the-spot screening and enrollment. The greatest success factor was believed to be the effective partnerships between federal, local and state agencies.