Medicare

File Downloads / Links

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

File Downloads / Links

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

File Downloads / Links

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

File Downloads / Links

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

File Downloads / Links

Medicare Beneficiaries’ January 2018 Out-of-Pocket Health Care Spending as a Share of Income Now and Projections for the Future

This report from the Kaiser Family Foundation addresses Medicare beneficiaries’ out-of-pocket health care spending. This report highlights the rising medical costs for low-income older adults. It is estimated that by 2030, Medicare beneficiaries will be spending half of their Social Security benefit on out-of-pocket Medicare expenses.

Short URL: http://www.advancingstates.org/node/70131

File Downloads / Links

Advancing Medicare and Medicaid Integration: Key Program Features and Factors Driving State Investment

For individuals who receive services from both Medicare and Medicaid, care is often fragmented across a wide array of medical, behavioral health, and long-term care providers. Medicare and Medicaid offer otherwise uncoordinated systems of care with different eligibility criteria, benefits, provider networks, and enrollment processes. This issue brief describes key features of effective integrated care programs and presents top policy considerations driving state investment in these programs.

Short URL: http://www.advancingstates.org/node/69991

File Downloads / Links

Medicare Spends More on Socially Isolated Older Adults

Previous studies have demonstrated that socially isolated older adults are at greater risk for poor health and death than their well-connected counterparts. The AARP Public Policy Institute has released a new report that examines whether social isolation also affects health care spending among older adults, and finds that a lack of social contacts among older adults is associated with an estimated $6.7 billion in additional Medicare spending annually.

Short URL: http://www.advancingstates.org/node/69990

File Downloads / Links

File Downloads / Links

File Downloads / Links

Toward Seamless Coverage: Identifying Enrollment Gaps and Opportunities in Medicare Transitions for People with Expansion Medicaid

This new report developed by the Medicare Rights Center for the National Council on Aging shares how some states are working to ensure seamless coverage for low-income individuals transitioning from expansion Medicaid to Medicare. The report highlights promising state-specific practices that other states might adopt, as well as barriers that states will work through in their own ways, seeking the most seamless coverage possible for lower-income older adults and people with disabilities.

Short URL: http://www.advancingstates.org/node/69853

Pages

Subscribe to RSS - Medicare