Reports

This report looks at the changes states implemented to their Medicaid or other publicly-funded consumer directed home care programs in order to comply with the 2013 FLSA Home Care Rule. The report includes perspectives from various stakeholders and describes issues raised in interviews. It provides an overview of early implementation efforts, an environmental scan of state policies and procedures, and a case study examination of states with well-documented hardship exceptions.

This report looks at how federal agencies can better meet the nutritional needs of older adults. The study examines how older adults' nutrition is connected to health outcomes and the extent to which federal nutrition guidelines address older adults' nutritional needs. It also outlines the challenges program providers face in meeting older adults' nutritional needs. GAO makes a series of recommendations for HHS and USDA to improve federal nutrition assistance programs for this population.

This report explores the need for resources and funding to train professionals on how to better support people who have I/DD and a mental health need. Over the past year, The Arc has conducted focus groups on this subject with 66 stakeholders in Maryland, Indiana, and Florida. The findings from these discussions are highlighted in this report.

This report presents educational and employment data for youth and young adults with and without disabilities. It highlights the gap between youth with disabilities and those without disabilities on key measures of educational and employment success. This first report includes the status of the selected population, education, employment, and opportunity youth indicators. Future reports will also include a longitudinal trend analysis of these indicators.

This case study examines the benefits of coordinating care for dually eligible members with serious mental illness. It looks specifically at how one Pennsylvania plan used a robust care coordination and member engagement model to successfully reduce urgent and unplanned inpatient admissions; and optimize health outcomes, quality of life, and self-management skills for individuals with serious mental illness.

This case study explores how health plans can help rebalance LTSS for dually eligible members. It looks at two California health plans who successfully transitioned dually eligible members from institutional to community settings. The case study uses these two examples to identify key elements for supporting dually eligible individuals with LTSS needs during the transition to living in the community.

The CMS Office of the Actuary released the 2018 National Health Expenditures. The study includes estimates on health care services and goods, health insurance costs, government administration, public health activities, and other areas related to health care including personal care, residential services, and nursing care facilities.

This report estimates that half of all single older adults in the United States lack the income to afford basic needs, a calculation that matched Elder Index expense data with state-level income statistics. The report also ranks states based on their levels of elder economic insecurity by measuring the percentage of older adults who did not have sufficient income to meet their realistic expenses.

This issue brief explores software systems that state aging and disability agencies use for resource databases and for client tracking, case management, and reporting. Data and findings are drawn from ADvancing States’ 2018 National Survey of Aging and Disability Information & Referral/Assistance (I&R/A) Agencies. This issue brief highlights responses from state agencies on aging and disability, though in some instances, data from all survey respondents is shared for comparison purposes.

This updated annual report examines spending in the functional areas of state budgets and includes fiscal 2017-2019 data. The report looks at spending in the areas of elementary and secondary education, higher education, public assistance, Medicaid, corrections, transportation, and all other. It includes state-by-state breakdowns, highlights data on capital expenditures by program area, and reviews revenue sources.