Reports

KFF recently released an issue brief titled “Unwinding of Medicaid Continuous Enrollment: Key Themes from the Field,” exploring the implications of the end of Medicaid continuous enrollment on March 31, 2023. As continuous enrollment comes to an end, states will be required to complete an eligibility renewal for all Medicaid and CHIP enrollees by May 2024 – a process commonly referred to as “unwinding.” This brief examines the perspectives of state officials and others involved in the unwinding process. KFF worked with PerryUndem to conduct interviews with representatives from Medicaid managed care plans, primary care associations, legal aid and other advocacy organizations, and navigator organizations in four states...

The National Center for Assisted Living (NCAL) recently announced the publication of its annual Assisted Living State Regulatory Review. This report summarizes key selected state requirements for assisted living licensure or certification. It provides information for every state and the District of Columbia on topics such as which state agency licenses assisted living, recent legislative and regulatory updates affecting assisted living, scope of care, limitations of services, staffing, and training. The report also includes requirements for communities that offer older adults and people with disabilities housing and person-centered supportive and/or health care services but may use a different term than assisted living...

In response to the National Institutes of Health recently designating people with disabilities as a population experiencing health disparities, as well as the Department of Health and Human Services’ (HHS) proposed rule that would update the requirements for nondiscrimination on the basis of disability, KFF has released a data analysis titled “Working-Age Adults with Disabilities Living in the Community.”...

ADvancing States is pleased to publish findings from the 2022 national survey of Adult Protective Services (APS) Programs in the report Adult Protective Services in 2022: Responding to Evolving Needs in a Changing Environment. ADvancing States conducted this survey to assess the current state of APS programs and identify trends related to topics such as caseload, staff retention, and client assessment. Additionally, there was a special focus placed on clients experiencing self-neglect. Since the prior ADvancing States APS report was published, Adult Protective Services in 2012: Increasingly Vulnerable, the field of APS has experienced a variety of new opportunities and challenges...

AARP recently released a report using qualitative and quantitative data to depict sandwich generation caregivers who are caring for Medicare beneficiaries. The combined dynamics of Americans delaying having children and younger generations taking on caregiving for older adults are leading to a new picture of what it means to be sandwiched between two generations who need daily care. Early research has shown the negative impact the compounded responsibility of caring for an older adult while still caring for young children can have on caregivers’ physical health, well-being, and financial welfare....

ATI Advisory, in collaboration with the Robert Wood Johnson Foundation, recently released three deliverables as part of their project to address equity in access to long-term services and supports (LTSS). This work has benefited greatly from the contributions of key stakeholders across 30+ unique engagements, including interviews, roundtables, and focus groups. The perspectives, insights, and experiences shared by these individuals were instrumental in the development of the project's findings and helped identify challenges experienced by individuals from historically marginalized communities in accessing LTSS....

Mathematica, in support of the Centers for Medicare & Medicaid Services (CMS), actively contributed to the development of the 2023 Medicaid & Children's Health Insurance Program (CHIP) Scorecard. This scorecard aims to provide a clear look at agency and state-reported data to improve transparency about the administration and outcomes of these programs. The MAC Scorecard, which is available at Medicaid.gov, draws on more than 30 data sets derived from state and federal reporting efforts. The measures selected for inclusion in the MAC Scorecard represent key data points that reflect CMS’s priorities across various facets of Medicaid and CHIP....

Mathematica has published a report examining the potential impact of the Medicare Drug Price Negotiation Program (DPNP) on out-of-pocket spending for different groups of Medicare Part D enrollees. By simulating the DPNP process, Mathematica estimated what ceiling prices and out-of-pocket expenses on the 10 highest-expenditure drugs would have been in 2021, the most recent year for which complete Part D data were available. The report examines the disparities in reduced out-of-pocket spending among various racial, ethnic, and beneficiary groups, focusing on the differential impact of the DPNP policies....

On Thursday, December 7, the Bipartisan Policy Center (BPC) issued a report to address issues related to the long-standing shortage of direct care workers. Through research, interviews with stakeholders and federal policy experts, and private roundtable discussions, BPC identified three major challenges to recruiting and retaining direct care workers...

Building on interviews with more than 70 stakeholders, the Organisation for Economic Co-operation and Development (OCED) has released a report exploring the impact of Artificial Intelligence (AI) on employment opportunities for people with disabilities in the labor market. The report highlights the potentially transformative effects of AI in the labor market by outlining 142 AI-powered solutions tailored to assist people with disabilities. However, the report also examines the risks for people with disability posed by the increasing adoption of AI in the labor market and in society at large. The report outlines various governmental strategies aimed at mitigating the potential risks associated with the implementation of AI...