Reports

This new report from ASPE and HUD examines the Support And Services at Home (SASH) program from 2010-2016. The SASH program uses affordable housing properties as a method for delivering services to older adults and individuals with disabilities living in Vermont. The study used a mixed-methods evaluation to examine the effects of the SASH program on health care utilization outcomes, Medicaid expenditures, and Medicare expansion.

This report highlights innovative approaches in supporting family caregivers. The report features programs in Hawaii, Maine, Minnesota, Tennessee, and Washington.

This data profile uses data from the Caregiver Outcome Evaluation Study of the National Family Caregiver Support Program (NFCSP). It highlights the differences in demographics and the dynamics between short and long term caregivers.

According to this data brief from the OIG, prescriptions used to treat opioid addiction have increased in recent years. At the same time, prescriptions for opioid painkillers have decreased. These positive results demonstrate the value of awareness, drug treatment, and law enforcement efforts in addressing the crisis.

This report looks at how states with strong MFP programs compare to states without or with limited MFP programs. Findings show that states with more robust MFP programs reduced utilization of institutional LTSS at a higher rate than other states. In addition, these states also rebalanced their LTSS systems more efficiently compared with other states.

This report discusses how HHS can help rural service providers cope with the challenges of meeting the demand for home and community-based services in rural areas. Specifically, GAO recommends the consolidation of information regarding promising practices to allow local officials and rural service providers to more readily access this information.

This paper describes the roles of mobility managers and explores the benefits of focusing on the individual and their unique transportation challenges. The report highlights emerging innovations from five case studies and presents the results of a national survey and inventory of mobility managers. It also discusses the future role of mobility managers in long-term services and supports.

This report highlights Medicaid waiver policies that could result in many people losing coverage, even as states incur greater costs. This report offers a detailed assessment of emerging waiver trends, providing insights into its critical implications. The report also describes how examining the research literature and evaluations of programs that impose similar policies can provide guidance on predicting the coverage and cost impacts of emerging waivers on Medicaid beneficiaries and states.

This report examines older adults in the workforce. It uses data on retirement-age Americans’ incomes, health, and activities gathered from the Census Bureau, Bureau of Labor Statistics, and Centers for Disease Control (CDC). An increasing number of older adults are participating in the labor force, many of them college-educated. This participation growth is driven largely by improved health.

This brief focuses on the needs of individuals with intellectual and developmental disabilities who are also experiencing mental illness. The Arc explored the unique challenges faced by these individuals through focus groups and national panels. This brief summarizes the findings from these activities and includes recommendations for the development of new training, systems change activities, research, and greater public awareness around I/DD and mental health issues.