Reports

The 2017 evaluation of the Older Americans Act (OAA) Nutrition Program for the Elderly provides results and information on the impact of the program on the participants’ food security, socialization, and diet quality. Comparisons are drawn from the previous evaluation of the program conducted in 1995. This evaluation also serves to provide insight into areas needing further review.

This report from Truven Health Analytics is a detailed example of how TEFT grantees obtained and maintained stakeholder involvement throughout the lifecycle of stakeholder engagement.

This new report developed by the Medicare Rights Center for the National Council on Aging shares how some states are working to ensure seamless coverage for low-income individuals transitioning from expansion Medicaid to Medicare. The report highlights promising state-specific practices that other states might adopt, as well as barriers that states will work through in their own ways, seeking the most seamless coverage possible for lower-income older adults and people with disabilities.

This report from Truven Health Analytics describes section 1915(c) home and community based services waiver programs. Over 1.6 million people received section 1915(c) waiver services in 2014; this is a 5 percent increase from 1.5 million in 2013. Furthermore, the number of section 1915(c) waiver participants has increased by an average of 4 percent per year since 2009. Participants received services for an average of 10 months in 2014, as in previous years.

This report provides information about Medicaid LTSS beneficiaries in 2013. The report estimates that approximately 5.2 million people received Medicaid-funded long-term services and supports (LTSS) during calendar year 2013. This data includes state-reported estimates for managed LTSS programs. 72 percent of LTSS beneficiaries received home and community-based services (HCBS), including people who received institutional services during the year.

The Eastern Virginia Care Transitions Partnership (EVCTP) is a largescale partnership including Bay Aging and four other Area Agencies on Aging (AAAs), four health systems, three managed care organizations (MCOs), and other health care and human service providers. This case study describes several topics including the service delivery model, information sharing and reporting, shared governance, success factors, and challenges.

Many adults enrolled in Medicaid lack adequate dental care coverage. Oregon uses Medicaid coordinated care organizations to offer integrated physical, mental health, and now oral care. A new NASHP report, supported by the DentaQuest Foundation, examines Oregon’s innovative payment and financing structures, incentive measures, and key partnerships that were important to building this model. This report is helpful for policymakers considering integrating dental in Medicaid reform.

This paper describes strategies used in four highly ranked or significantly improved states, including Minnesota, to reduce the risk of long-term nursing home care after a hospitalization. Included in the paper is a toolkit of resources that can help others learn more and potentially replicate these practices, as well as contact information for experts.

This report from the National Disability Institute (NDI) studies the prevalence of disability by race, the changing rate of disability by age and race, and the impact of race and disability on educational attainment, employment, banking status, health insurance, medical debt, and food insecurity.

Chronic conditions are a part of many Americans’ lives, and there are valuable programs that have been demonstrated to help people with chronic conditions to self-manage their daily lives and the disease with which they live. This briefing discusses self-management programs, and focuses on programs that rely on peer leaders who educate small groups about chronic disease self-management.