Medicaid

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The Critical Programs that Keep Millions of Older Adults Out of Poverty

This fact sheet and issue brief explore how federal programs support older Americans. The focus is on four main areas, including health programs, economic security, housing and food, and legal assistance. These publications help explain how various federal programs can ideally work together to allow older Americans to meet their basic needs and maintain a high quality of life.

Short URL: http://www.advancingstates.org/node/70344

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The History, Evolution, and Future of Medicaid Accountable Care Organizations

This brief from the Center for Health Care Strategies discusses how accountable care organizations (ACOs) have become increasingly prevalent in the United States. This brief highlights the results of Medicaid ACO programs across the country to date, as well as key themes and lessons from these early adopters. It also examines how Medicaid ACO programs have evolved over time.

Short URL: http://www.advancingstates.org/node/70215

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Integrated Care for People with Medicare and Medicaid: A Roadmap for Quality

To understand both the needs of people who use long-term services and supports (LTSS) through Medicare and Medicaid coverage and ways to apply quality measurement to this population, the National Committee for Quality Assurance (NCQA), supported by The SCAN Foundation, developed a roadmap for evaluating the quality of integrated care for dual eligibles.

Short URL: http://www.advancingstates.org/node/70199

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Snapshots of Recent State Initiatives in Medicaid Prescription Drug Cost Control

This issue brief reviews the structure of the prescription drug benefit in Medicaid and the traditional policy levers states have used to control drug spending. It also describes state strategies to contain costs, such as efforts to obtain greater rebates, actions concerning generic drugs and biosimilar alternatives, transparency laws and new efforts to draw on federal resources.

Short URL: http://www.advancingstates.org/node/70195

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The Opioid Public Health Emergency and Older Adults

Older adults are affected by the opioid public health emergency because they often use prescription opioids to cope with painful chronic conditions or procedures. This issue briefing provides a summary about the problem, treatments, federal strategies to address the crisis, and funding and programs that are addressing this issue. The briefing also highlights innovative programs to address the opioid public health emergency in Arizona, Colorado, Nevada, and New Hampshire.

Short URL: http://www.advancingstates.org/node/70191

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Medicaid Assisted Living Services: Improved Federal Oversight of Beneficiary Health and Welfare Is Needed

This report examines state and federal oversight of assisted living services in Medicaid. Individuals receiving long-term care services from Medicaid in community residential settings is expected to grow. This report describes state spending on and coverage of these services; describes how state Medicaid agencies oversee the health and welfare of beneficiaries in these settings; and examines the extent that CMS oversees state Medicaid agency monitoring of assisted living services.

Short URL: http://www.advancingstates.org/node/70145

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How States Can Monitor Dual Eligible Special Needs Plan Performance: A Guide to Using CMS Data Resources

CMS regularly reports data on health plan enrollment, quality, and compliance that states can use to monitor the performance of the Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) they contract with to serve Medicare-Medicaid enrollees. This technical assistance tool shows how states can use these data to create tables, graphs, and figures and interpret their meaning in order to assess D-SNP performance.

Short URL: http://www.advancingstates.org/node/70139

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How States Can Better Understand their Medicare-Medicaid Enrollees: A Guide to Using CMS Data Resources

The CMS Medicare-Medicaid Coordination Office (MMCO) regularly reports data on Medicare-Medicaid enrollee demographics, service utilization, spending, and other characteristics that can give states a more comprehensive view of this population. This tool shows states how to use these data to create tables, graphs, and figures and interpret their meaning for a wider audience of stakeholders.

Short URL: http://www.advancingstates.org/node/70138

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How Might Medicaid Adults with Disabilities Be Affected By Work Requirements in Section 1115 Waiver Programs?

This issue brief from the Kaiser Family Foundation examines the implications of work requirements for Medicaid recipients with disabilities. Kaiser’s analysis finds that waivers that condition Medicaid eligibility on meeting a work requirement could affect people with disabilities who have limitations that interfere with their ability to work but do not rise to the stringent SSI level of disability.

Short URL: http://www.advancingstates.org/node/70128

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