Reports

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.

The Partnership for Healthy Outcomes, a project of the Center for Health Care Strategies, Nonprofit Finance Fund, and the Alliance for Strong Families and Communities, has published a report that captures and analyzes lessons from health care organizations and community-based organizations (CBOs) that are partnering to address both the clinical and the social determinants of health. This report is based on a survey of more than 200 health care related partnerships.

The National Association of State Budget Officers has a semi-annual report, with data gathered from all 50 state budget offices, that provides a narrative analysis of the fiscal condition of the states and data summaries of state general fund revenues, expenditures, and balances. The spring edition of the survey of the states details governors' proposed budgets.

This report provides a comprehensive analysis of senior population health on a national and state-by-state basis across 34 measures of senior health. The 2017 edition is the fifth publication of this report, which continues to serve as a benchmark of senior health for individuals, community leaders, policymakers, media and public health professionals.

This report provides a multidimensional look at state performance for the delivery of long-term services and supports (LTSS), based on a uniform set of performance measures and how performance has changed over time. It also includes the role that housing and transportation play in assisting older adults, people with physical disabilities and their family caregivers, as well as promising practices and emerging innovations to foster greater information exchange.