Reports

This three-part report begins with an examination of the causes of poverty for older women. It also explores the issue of intersectionality in light of disproportionate rates of poverty for both women of color and LGBTQ women. The second part of this report provides an overview of the various anti-poverty programs available for older women. Finally, the report concludes by offering specific policy recommendations for increasing older women’s economic security.

This report examines 40 Medicaid managed care contracts and 25 approved Section 1115 demonstrations. It identifies common themes across state approaches to incentivizing and requiring SDOH-related activities. CHCS also provides several additional policy recommendations for bolstering SDOH investment in state Medicaid offices.

This report is the result of a symposium held with approximately 25 thought leaders in the healthcare and LTSS industry. It also includes data analysis of 28 service agencies supporting 3,000 people with IDD. This report is intended to serve as a road map for key measures which would support people with IDD.

This report uses a variety of data sources to analyze the impact of the Washington Health Homes demonstration. The Washington Health Homes MFFS demonstration leverages health homes to integrate care for high-cost, high-risk full-benefit Medicare-Medicaid enrollees. This report addresses the demonstration’s approach to integrating the Medicare and Medicaid programs; providing care coordination to enrollees; enrolling beneficiaries into the demonstration; and engaging stakeholders.

This semi-annual report analyzes the fiscal condition of the states and includes data summaries of state general fund revenues, expenditures, and balances. State fiscal conditions continue to show signs of improvement and greater stability. Fiscal 2019 is projected to be the ninth year in a row with moderate state spending and revenue growth. State general fund spending is expected to grow 4.3 percent in fiscal 2019 compared to fiscal 2018 levels.

The Centers for Medicare & Medicaid Services released their monthly report for September 2018 on Medicaid and CHIP application, eligibility determination, and enrollment data. This report includes point-in-time data from all 50 states and the District of Columbia, including the number of applications submitted directly to Medicaid and CHIP agencies, the number of eligibility determinations made on these applications, and the total number of individuals enrolled in the Medicaid and CHIP programs.

This report from the Job Accommodation Network (JAN) analyzes the benefits and costs of workplace accommodations. JAN publishes this annual report using data from a survey they conduct with employers who contact them for specific information about workplace accommodations and/or the ADA. This year's results show that the majority of accommodations, 59 percent, were cost-free, while the typical cost of other accommodations was $500.

This report summarizes the Medicare Parts A & B actuarial savings analysis of the Washington managed fee-for-service (MFFS) demonstration for 2015 and 2016. The Washington Health Home MFFS demonstration aims to improve service quality and integration while reducing costs of care for high-risk, high-cost dually eligible beneficiaries. For 2015, Washington demonstrated a final gross Medicare savings of $30 million. The preliminary gross Medicare savings for 2016 are $42 million.

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.

This brief outlines successful EVV implementation in self-direction. Successful implementation is defined as one that protects and upholds the participant's choice and control over their services and supports while strengthening program integrity. The brief describes the functionality required to support self-direction, including flexible scheduling, protocols for EVV system use in areas without internet access, and workflows that support participant control of workers' hours.