Reports

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.

This report discusses what is known about effective programs to support family caregivers and emphasizes evidence-based programs for family caregivers of persons living with dementia. Evidence-based programs to help caregiving families are not widely available in communities. This report looks at barriers to scaling up effective programs and draws attention to programs that have been shown to improve one or more aspects of the quality of life of family caregivers.

In 2017, ADvancing States administered a survey of state agencies that deliver LTSS, including aging and disability agencies as well as Medicaid programs, regarding the significant policy, fiscal, and operational issues occurring within each state. During the survey, we collected detailed information about the structure of agencies, the supports provided, and the populations served by state programs.

The Administration for Community Living’s National Adult Protective Services Technical Assistance Resource Center has released their first National Adult Maltreatment Reporting System (NAMRS) FFY 2016 data report. NAMRS is a voluntary data reporting system which collects data from state and local Adult Protective Services systems. This report contains information about the quantity and type of data submitted by states, the District of Columbia, and territories.

This is a report on the dual eligible financial alignment demonstrations. The Financial Alignment Initiative is a series of demonstrations launched in 2011 by the Medicare-Medicaid Coordination Office (MMCO) and the Center for Medicare and Medicaid Innovation within the Centers for Medicare and Medicaid Services (CMS).

This is the first major research paper in this emerging field of managed long-term services and supports (LTSS) that addresses family caregivers’ needs. Family caregivers of people with self-care needs often make it possible for the members of managed care plans to live at home rather than in institutions. Managed care plans, therefore, have strong financial incentives to support these family caregivers, thus improving quality of life and reducing the overall cost of care.

A report by The Menges Group on behalf of the Association for Community Affiliated Plans estimates the current savings of the managed care model in Medicaid and the additional savings that can occur if remaining fee-for-service (FFS) expenditures were moved into a capitated MCO setting. The report estimates that in 2016, the MCO model delivered nationwide Medicaid savings of $7.1 billion. This represents an overall savings of 2.6% on all the funds paid via capitation.