Managed Care

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Exploring Options for Integration: State Considerations to Better Coordinate Medicare and Medicaid

This webinar discussed two issue briefs from the MLTSS Institute on aligning Medicare and Medicaid for dually eligible individuals. The briefs covered were, "Starting from Square One: Considerations for States Exploring Medicare-Medicaid" and, “The Value of Integration to State Medicaid Agencies”. The webinar also highlighted the perspective of the District of Columbia, which is planning to launch new program elements to better integrate care.

Short URL: http://www.advancingstates.org/node/72036

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Starting from Square One: Considerations for States Exploring Medicare-Medicaid Integration

This issue brief from the MLTSS Institute focuses on aspects of delivering effective care to individuals eligible for both Medicare and Medicaid. Only about 2/3 of states have undertaken any activity to better integrate care for dually eligible beneficiaries; many have encountered a number of barriers in pursuing better integration of the Medicare and Medicaid programs. This issue brief identifies key questions that states should ask themselves before they design an integrated care program.

Short URL: http://www.advancingstates.org/node/72030

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Recognition of Family Caregivers in Managed Long-Term Services and Supports

This AARP Public Policy Institute research report examines support for family caregivers in managed long-term services and supports. The report finds that states have made progress in this area, but have opportunity to continue improving support for family caregivers in their MLTSS programs. One potential solution suggested by the report is to ensure that MLTSS contracts between states and health plans include clearly defined requirements to identify and support family caregivers.

Short URL: http://www.advancingstates.org/node/71997

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Improving Care And Managing Costs For Dual Eligibles

This report presents highlights from a National Governor's Association Roundtable held in December 2018. At the roundtable, state and federal officials, national experts, and industry and consumer experts discussed challenges and opportunities for states to improve care and manage costs for dual eligibles. Based on the conversation at this event, NGA identifies key considerations for governors and their staff.

Short URL: http://www.advancingstates.org/node/71949

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Key State Policy Choices About Medicaid Home and Community-Based Services

This issue brief discusses state policy trends using data from KFF’s 18th annual 50-state survey. It discusses policy areas such as implementation of electronic visit verification and value based payment models. The brief highlights key findings across the topics areas of HCBS program flexibility, MLTSS, and response to federal regulations

Short URL: http://www.advancingstates.org/node/71918

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Medicaid Home and Community-Based Services Enrollment and Spending

This brief includes the latest (FY 2018) Medicaid HCBS enrollment and spending data from KFF’s 18th annual 50-state survey. It contains data about per-enrollee spending on HCBS by target population and HCBS waiver waiting lists. This issue brief also includes tables with detailed state-level data. One key finding analyzed here is that most HCBS enrollees receive services provided at the state option.

Short URL: http://www.advancingstates.org/node/71917

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The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies

This report is the fourth in a series of publications from the MLTSS Institute, which was established in 2016 to drive improvements in key MLTSS policy areas, facilitate sharing and learning among states, and provide direct and intensive technical assistance to states and health plans. This issue brief focuses on delivering effective care to individuals eligible for both Medicare and Medicaid and aims to lay out the case for state Medicaid agencies to invest in integrated care programs.

Short URL: http://www.advancingstates.org/node/71835

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HCBS Conference 2019- Presentations

The Home and Community Based Services (HCBS) Conference is hosted annually by ADvancing States (formerly known as NASUAD). This event highlights best practices from across the country in home and community-based services. The conference includes federal, state, and local policymakers as well as those who administer, manage, and deliver waiver and other HCBS programs. This link contains all of the slide presentations from the 2019 HCBS Conference.

Short URL: http://www.advancingstates.org/node/71741

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Collaborating to Address HCBS Workforce Challenges in MLTSS Programs

This report is the third in a series of publications from the MLTSS Institute. The report identifies the challenges and promising practices in addressing the mismatch between supply and demand for direct care workers in long term services and supports programs, all viewed through the lens of MLTSS programs. This report is co-authored by ADvancing States and Sage Squirrel Consulting, LLC.

Short URL: http://www.advancingstates.org/node/71262

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