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Transitioning from Medicaid Expansion Programs to Medicare: Making Sure Low-Income Medicare Beneficiaries Get Financial Help

As low-income adults covered under Medicaid expansion become eligible for and transition into Medicare, these individuals will face higher cost-sharing requirements. This report describes programs and policy options that could help low-income Medicare beneficiaries.

Short URL: http://www.advancingstates.org/node/66067

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Transitions from Medicare-Only to Medicare-Medicaid Enrollment

This study focuses on understanding the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and those that predict nursing home entry. This volume of this report is a descriptive examination of the number and characteristics of Medicare beneficiaries who transition to dual coverage in the coming year.

Short URL: http://www.advancingstates.org/node/65916

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Factors Predicting Transitions from Medicare-Only to Medicare-Medicaid Enrollee Status

This study focuses on understanding the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and those that predict nursing home entry. This volume provides estimated econometric models that predict beneficiaries' enrollment in Medicaid, and their entry into long-term nursing home stays.

Short URL: http://www.advancingstates.org/node/65902

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An Investigation of Interstate Variation in Medicaid Long-Term Care Use and Expenditures Across 40 States in 2006

Shifting the balance in publicly-funded long-term care provision away from institutional care toward greater reliance on home and community-based services has been a federal goal for the past three decades -- a goal often referred to as "re-balancing" state LTC systems. This report explores inter-state variations in LTC expenditure and service use patterns, in terms of institutional and non-institutional services, and also by Medicaid LTC users' age and type of disability.

Short URL: http://www.advancingstates.org/node/65900

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Benefits and Cost-Sharing for Working People with Disabilities in Medicaid and the Marketplace

Access to affordable health insurance is essential to the ability of people with disabilities to seek and maintain employment. As their income fluctuates, people may migrate between Medicaid and Marketplace coverage, and they may face changes in their benefits and out-of-pocket responsibilities as a consequence. This issue brief uses hypothetical examples of working people with disabilities to illustrate the experiences they might have with Medicaid and Marketplace coverage in four states.

Short URL: http://www.advancingstates.org/node/65890

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Another Perspective: Capturing the Working-Age Population With Disabilities in Survey Measures

A new criticism of the variety in measures serving to identify the disabled population in the American Community Survey (ACS) has been raised by Burkhauser, Houtenville, and Tennant. This article provides another perspective on the relationship of the current ACS measure and a work limitation measure demonstrating the complications introduced by combining measures that represent two different metrics and introducing an unmeasured environmental element.

Short URL: http://www.advancingstates.org/node/65856

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Completing the Picture: Key Features of the Social Security Disability Insurance Program

In this brief, the authors summarize key features of the Social Security Disability Insurance program and describe some of the salient issues policymakers will need to consider to address the projected depletion of the SSDI Trust Fund in 2016. They also discuss the eligibility criteria for the program, benefit levels, and beneficiaries' ability to work.

Short URL: http://www.advancingstates.org/node/65854

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The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid – An Update

This report provides statistics and information about uninsured individuals in the Medicaid coverage gap. The Medicaid gap is a term used to describe uninsured individuals who do not have enough income to qualify for ACA subsidies and who live in a state that has elected not to expand their Medicaid program. According to the Kaiser report, approximately four million individuals are in the Medicaid gap across the country. Of the uninsured individuals, 17% are in the 55-64 age range.

Short URL: http://www.advancingstates.org/node/65847

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Money Follows the Person: Impediments to Implementation

Money Follows the Person (MFP) is one program that appropriates federal grants to states to design programs to transition Medicaid beneficiaries from institutional care to home and community-based services. Beginning as a demonstration program, there are many impediments and uncertainties surrounding implementation. This overview provides a description of impediments as an opportunity for solutions that anticipate implementation issues and touches upon program start up, capacity, and access.

Short URL: http://www.advancingstates.org/node/53159


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