Reports

This study examined (1) how intrastate funding formulas take into account older adults with greatest economic and social need, (2) options for modifying OAA title III and VII statutory funding formulas to better target older adults with the greatest economic and social need under generally accepted equity standards, and (3) what effect might these formula modifications have on states' program allotments and what transition measures could be used to ease the implementation of modifications.

This review is part of a new series of reports, “Closing the Quality Gap: Revisiting the State of the Science.” The series provides a critical analysis of existing literature on quality improvement strategies and issues for topics identified by the 2003 Institute of Medicine report, “Priority Areas for National Action: Transforming Health Care Quality.” To continuously assess progress toward quality, AHRQ identified people with disabilities as a priority population in this report.

The Office of Inspector General’s (OIG) body of work examining Medicaid personal care services (PCS) has found significant and persistent compliance, payment, and fraud vulnerabilities that demonstrate the need for Centers for Medicare & Medicaid Services (CMS) to take a more active role with States to combat the issues. This document summarizes OIG’s PCS work and, on the basis of the analysis of this work in the aggregate, offers recommendations to improve the integrity of Medicaid PCS.

This report aims at comparing long-term care for older adults delivered through Home and Community-Based Services (HCBS) with care provided in nursing homes (NHs) by evaluating 1) the characteristics of older adults served through HCBS and in NHs; 2) the impact of HCBS and NH care on outcome trajectories of older adults; and 3) the per person costs of HCBS and NH care, costs for other services such as acute care, and family burden.

This survey provides national, statewide, and area specific, within certain states (based on population), average daily rates for private and semi-private rooms in a nursing home, monthly base rates in assisted living communities, hourly rates for home health aide and homemaker services, and daily rates for adult day services as well as the range of rates in each area surveyed. Download the survey and key findings.

Elder financial exploitation is the illegal or improper use of an older adult’s funds or property. It has been described as an epidemic with society-wide repercussions. This report describes the challenges states face in preventing and responding to elder financial exploitation, as well as the actions some federal agencies have taken to help states address these challenges.

This report is composed annually by the Data and Systems Group (DSG) of the Centers for Medicare & Medicaid Services (CMS). It provides descriptions of the states’ Medicaid managed care programs as of July 1, 2011. The report is organized by 1915(b), 1115, 1932(A), 1915(A), Concurrent 1915(B/C), Concurrent 1915(A/C), 1932, 1937, and PACE programs.

This report profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. It provides national-level summary tables relating to trends, breakout of managed care entities, managed care enrollment by state, regional breakout and states with comprehensive health care reform demonstrations. The information was collected from State Medicaid agencies and CMS Regional Offices.

This report examines how health care outcomes for general medical care have been assessed for people with disabilities within the rubrics of care coordination and quality improvement. A total of 15,513 articles were screened; very few were direct examples of work conducted from the perspective of disability as a complicating condition. Capturing the disability perspective will require collaboration of measurement efforts across medical interventions, rehabilitation, and social support provision.

This report compares long-term care (LTC) for older adults delivered through Home and Community-Based Services (HCBS) with care provided in nursing homes (NHs) by evaluating (1) the characteristics of older adults served through HCBS and in NHs; (2) the impact of HCBS and NH care on outcome trajectories of older adults; and (3) the per person costs of HCBS and NH care, costs for other services such as acute care, and family burden.