Reports

On March 15, the Medicaid and CHIP Payment and Access Commission released the March 2016 Report to Congress on Medicaid and CHIP. The authorizing statute of MACPAC requires the commission to submit a report to Congress by March 15 and June 15 each year. This report focuses on three aspects of Medicare: Support for safety-net hospitals; delivery of care for people with behavioral health conditions; and coverage for low and moderate income children.

The Bureau of Labor Statistics in collaboration with the Kessler Foundation and the University of New Hampshire's Institute on Disability published this month's National Trends on Disability Employment report (nTIDE). Each month this report is published to mark the changes of employment for people with disabilities.

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for December 2015 on Medicaid and CHIP application, eligibility determination, and enrollment data. States provides data to CMS on factors related to key application, eligibility and enrollment processes using the Medicaid and CHIP Performance Indicator Project. The data is then used to inform CMS on the operations of the programs in each state and to share state performance data publicly.

The National Alliance for Caregiving, in collaboration with Mental Health America and the National Alliance on Mental Illness, released a report surrounding the topic of caregivers of adults with mental illness. "At least 8.4 million Americans are providing care to an adult with an emotional or mental health issue, and nearly three quarters report that caregiving causes high emotional stress." This report examines the inadequacies the families of individuals with mental illness face in the U.S.

The National Center for Health Statistics' Long-Term Care Statistics Branch released a report on variation in residential care community nurse and aide staffing levels in the United States. This report presents national and state estimates of staffing levels in residential care communities for registered nurses, licensed practical or vocational nurses, and aides in the United States for 2014.

This report presents the most current descriptive national information on the supply, organizational characteristics, staffing, and services offered by paid, regulated providers of long-term care services in five sectors; and the demographic, health, and functional composition of users of these services. Services users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers.

The Long-Term Care Financing Collaborative released a final report detailing the consensus framework for long-term care financing reform. LTCFC offered recommendations for reforms to expand access to long-term services and supports (LTSS) for individuals with all financial backgrounds. The proposed changes include: Clear private and public roles for long-term care financing; a new universal catastrophic long-term care insurance program; and redefining Medicaid LTSS to empower greater autonomy.

Mathematica Policy Research submitted several reports on proposed methods for developing and testing risk and reliability. The important contribution for this work is the development of a risk adjustment methodology that can be applied to Medicaid quality measures of the HCBS population. These resources include: Risk Adjustment of HCBS Composite Measures- Volumes 1 and 2; Development of an HCBS Pressure Ulcer Measure- Volumes 1 and 2; and Development of HCBS Quality Measures webinar and slides.

The Bipartisan Policy Center (BPC), with funding from the SCAN Foundation, published a report offering recommendations to improve the financing of long-term care. The BPC published another report in April 2014 that examined the challenges in financing and delivery. This report is a follow up of those findings that offers recommendations to improve these issues.

Justice in Aging, with the support of the Albert and Elaine Borchard Center on Law and Aging, released a new paper, Advocacy Starts at Home: Strengthening Low-Income Older Adults and Caregivers. The paper's structure introduces Margaret and her story of being a family caregiver, discusses the problems as a result of the strain of poverty on low-income family caregivers and then offers solutions to help support older adults and their caregivers.