Reports

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Electronic Visit Verification: Implications for States, Providers, and Medicaid Participants

This report describes key considerations and policy decisions that states should consider as they work to implement EVV systems in accordance with the mandate included in the 21st Century Cures Act. The paper also examines different approaches that states may wish to use to establish EVV within their HCBS programs, and discusses some of the benefits and challenges associated with each approach. Lastly, it includes case studies of four states with existing EVV systems.

Short URL: http://www.advancingstates.org/node/70393

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Providing Home- and Community-Based Nutrition Services to Low-Income Older Adults: Promising Health Plan Practices

This brief uses a series of interviews to explore the ways that Medicaid health plans can work to meet the nutritional needs of low-income older adults. Best practices identified include hiring staff with strong nutrition experience, using assessments to create targeted interventions, adapting effective programs from other populations, and utilizing community resources. This paper is particularly optimistic about the potential of Medicaid partnerships with community-based organizations.

Short URL: http://www.advancingstates.org/node/70373

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A State of Decay: Are Older Americans Coming of Age Without Oral Healthcare?

OHA has published volume IV of A State of Decay. This report examines the progress of states in promoting oral health in older adults, analyzing a combination of publicly available data and information from surveys conducted with state dental directors. It uses six main variables from these sources to rank states according to the quality of their oral health care for adults aged 65 plus. The report also highlights a number of future recommendations for supporting oral health in older adults.

Short URL: http://www.advancingstates.org/node/70350

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The Critical Programs that Keep Millions of Older Adults Out of Poverty

This fact sheet and issue brief explore how federal programs support older Americans. The focus is on four main areas, including health programs, economic security, housing and food, and legal assistance. These publications help explain how various federal programs can ideally work together to allow older Americans to meet their basic needs and maintain a high quality of life.

Short URL: http://www.advancingstates.org/node/70344

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Taking It to the Next Level: Using Innovative Strategies to Expand Options for Self-Direction

This report from AARP's Public Policy Institute is part of a series of papers focusing on innovative strategies. It explores the benefits of self-directed care and looks at best practices used in Texas, Iowa, Wisconsin, and Florida. The report also provides a toolkit for educational and training purposes to help states improve and expand upon their self-directed LTSS programs.

Short URL: http://www.advancingstates.org/node/70341

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Racial, Ethnic, and Gender Disparities in Health Care in Medicare Advantage

This report analyzes disparities in the care received by Medicare Advantage beneficiaries during 2015-2016. The report was compiled using information from the Healthcare Effectiveness Data and Information Set (HEDIS) and the Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. It looks at differences in care by race, ethnicity, and gender and also isolates racial and ethnic differences experienced by women and men.

Short URL: http://www.advancingstates.org/node/70335

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How Did State-Run Health Insurance Marketplaces Fare in 2017?

This brief analyzes fifteen structured interviews conducted with leadership staff in states using state-based health insurance marketplaces. It explores the different actions these states may utilize to stabilize the marketplace and reduce consumer confusion in the face of uncertainty regarding federal policies.

Short URL: http://www.advancingstates.org/node/70316

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The Growth of Managed Long-Term Services and Supports Programs: 2017 Update

CMS recently released a 2017 update to its 2012 MLTSS inventory, compiled by Truven Health Analytics. This study reviewed available information about the status of Medicaid MLTSS programs, and provides updates on the prevalence of MLTSS programs, total enrollment, and specific program design elements as of August 2017. The report surveys the landscape of MLTSS programs across the country, provides detailed summaries of each MLTSS program, and identifies national trends.

Short URL: http://www.advancingstates.org/node/70315

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A Healthy Smile Never Gets Old: A California Report on the Oral Health of Older Adults

This report from the Center for Oral Health highlights how an alarming number of Californians age 65 years and older are suffering from untreated tooth decay and poor oral health. This report includes a series of recommendations to eliminate barriers to care and improve oral health.

Short URL: http://www.advancingstates.org/node/70297

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Evaluation of the ACL Title VI Programs: Year 1 Interim Report

In 2016, ACL's Administration on Aging contracted ICF International (ICF) to conduct a participatory evaluation of the Title VI Grant Program. This program provides home and community-based supportive services for older American Indian, Alaskan Native, and Native Hawaiian populations. The evaluation addresses topics such as: how tribes/organizations operate their Title VI Programs; the impact of Title VI programs on elders in the community; and more.

Short URL: http://www.advancingstates.org/node/70265

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