Reports

To improve beneficiary care and reduce unnecessary expenditures, a number of states have developed programs and initiatives aimed at improving the coordination and management of care for dual eligibles—beneficiaries enrolled in both Medicaid and Medicare for their health care services. This report reviews the experiences in nine states to determine the lessons that can be learned from experience.

Third Annual Report builds on findings from the first two Annual Reports and focuses on the progress grantees made during the 2008-2009 grant period, representing slightly different stages of implementation for the FY05 grantees (Year 4) and the FY06 grantees (Year 3). Across grantees, data on outcomes during 2008-2009 grant period remained limited and changes in system infrastructure continue to be difficult to assess at this time.

The impact of disability is wide ranging, influencing nearly every aspect of affected individuals’ lives, including how they seek and receive health care, how they process information, and what level of independence and community participation they enjoy. Evidence-based care has potential to improve the lives of American adults with disabilities. This brief presents methodological and design issues for researchers to consider.

A national survey of over 10,000 local governments follows up on a 2005 survey of aging communities across the nation. This report highlights 11 distinct transportation options important to older adults in local communities and underscores the importance of further outreach efforts to involve older adults in the planning process as only 30% of the communities surveyed had the direct involvement of older adults.

This resource guide highlights the importance of mobility options for American Indian elders and support the efforts of Title VI aging services and Tribal transit programs to provide transportation to elders living on reservations and Indian lands. Order the resource in hard copy from the NCST library or download the electronic version.

This report describes a national survey developed in conjunction with PACER Center's Family Advocacy and Support Training Project (FAST) to increase understanding of the key information needs, unmet service needs, and service quality for youth and young adults with disabilities in transition from school to adulthood. Review results of a 2010 Internet survey of 2,416 parents or relatives of children and youth ages 11 years to 39 years with disabilities from 54 U.S. states and territories.

In 2010, a national Internet survey aimed to capture the perspectives of people with intellectual and developmental disabilities (ID/DD) and their family caregivers. The Family and Individual Needs for Disability Supports (FINDS) survey focused on issues including educational, housing, employment and support needs of people with ID/DD and their families. Data analysis was conducted by the Institute's Research and Training Center on Community Living; review the technical report on the survey.

The estimated economic value of family caregivers’ unpaid contributions contribution was approximately $450 billion in 2009. If family caregivers were no longer available, the economic cost to the U.S. health care and long-term services and supports systems would increase astronomically. This report updates national and individual state estimates of the economic value of family care using the most current available data, and provides recommendations for taking care of the caregivers.

While state revenues have increased from FY 2011, this National Governor’s Association and the National Association of State Budget Officers report finds that states still face a combined gap of over $75 billion for their FY 2012 budgets. The report examines state Medicaid spending and projects future costs associated with an aging population.

By 2015, more than 15.5 million Americans 65 and older will live in communities where public transportation service is poor or non-existent. That number is expected to continue to grow rapidly as the baby boom generation “ages in place” in suburbs and exurbs with few mobility options for those who do not drive. This report ranks metro areas by the percentage of seniors with poor access to public transportation, now and in the coming years, and presents other data on aging and transportation.