Reports

This report explores the role played by managed care organizations delivering Medicaid long term services and support programs during the COVID-19 pandemic. The report looks at the roles and responsibilities of governments, nursing homes, and MLTSS plans and argues their role in the pandemic response as well as the role of federal funding and data use, should all be examined further to inform future policy.

The study examined self-reported data from over 10,200 Medicaid HCBS beneficiaries across 13 states using the NCI-AD survey. Unmet needs for Medicaid HCBS were consistently and significantly associated with poor health outcomes (emergency department visits, hospital stays, and preventative care) and community living outcomes (community participation, relationships with family and friends, satisfaction with how time is spent during the day, and sense of control in life.

ACL released a report on the 5th year of data collected by the National Adult Maltreatment Reporting System (NAMRS). NAMRS is the only comprehensive national initiative compiling data on the abuse, neglect, and exploitation of older adults and adults with disabilities as reported to state adult protective services (APS). In this report, the APS TARC (Adult Protective Services Technical Assistance Resource Center) began to look at the potential impact of the COVID-19 on adult maltreatment.

NAMD has released a report on leveraging American Rescue Plan Act investments to drive lasting transformation for people with complex needs. In summer 2021, NAMD convened an Executive Working Group of state Medicaid LTSS experts and national thought leaders to identify a framework of options that states could use to respond to this opportunity to improve and strengthen these services. The framework explores how states can meet the needs of individuals to maximize their health.

The RAISE Family Cargiving Advisory Council has released its RAISE Act Report to Congress on September 22, 2021. The report includes 26 key recommendations to help develop a national strategy to support family caregivers, including ways that public and private sectors can support the community's changing needs as the nation adapts to COVID-19.

This PHI report provides a new annual snapshot on the direct care workforce, including its demographics, occupational roles, job quality challenges, and projected job openings. The report includes detailed overviews of home care workers, residential care aides, and nursing assistants in nursing homes, as well as analyzes how the pandemic has affected the workforce.

States received approval for temporary changes to their HCBS programs from CMS, within the Department of Health and Human Services to enable states to limit in-person contact to reduce the spread of COVID-19. This GAO report describes the temporary changes to Medicaid HCBS programs and examines CMS’s monitoring and evaluation of the effects of those changes.

CMS released the 2020 Medicaid and CHIP Beneficiary Profile and Infographic. The profile and infographic provide an overview of the characteristics, health status, access, utilization, expenditures, and experience of the beneficiaries served by Medicaid and CHIP.

USAging, formerly known as n4a, published a new report on findings from the 2020 Title VI Native American Aging Program Survey. The National Title VI Program Survey, conducted approximately every three years, explores trends and evolving needs of Title VI programs across the country. This 2020 Report analyzes data on staffing, budget and services, and the needs of Title VI programs. The survey also gathered data on the impact of the pandemic on Title VI grantees and the older adults they serve.

This report highlights what Medicare Advantage plans, providers, and community partners are doing to address social risk factors for older adults. The report is based off of interviews with over 20 experts from 14 organizations representing health plans, providers, health plan associations, non-profit social service organizations, and service and technology vendors. Findings show an increase in plan activity to address areas of social isolation, transportation, housing, and food.