Managed Care

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The Role of State Medicaid Directors: A Leadership Imperative

The Milbank Memorial Fund released a new study, the Role of State Medicaid Directors: A Leadership Imperative. This study was authored by Andy Allison, a former Kansas and Arkansas Medicaid Director. The study focuses on the current climate of Medicaid policy, organizations and leadership. There is a specific focus on how the administration is structured for Medicaid in the states and the adequacy of state investments in the role and compensation of these leaders.

Short URL: http://www.advancingstates.org/node/66910

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2015 State of the States in Aging and Disabilities

The results of the annual survey represent a snapshot of the current status of state government employees, the agencies that administer the programs, and the services that are provided. The 2015 survey revealed that states are continuing to address the same underlying challenges discussed in the previous reports.The report also includes summary tables that outline specific information about each individual state agency and LTSS program. Email adiaz@advancingstates.org to request a hard copy version.

Short URL: http://www.advancingstates.org/node/66820

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How MCOs can Improve Outcomes and Reduce Costs of Care for Older Adults and Members with Disabilities

The white paper examines the impact that managed care organizations can have on cost and quality of care for older adults and people with disabilities. The National Council on Disability found that MCOs can lower the costs of services for these populations. However, MCOs must face the challenge of training staff on person-centered planning and competency for the quality of care to genuinely increase. This provides an analysis of the positives and negatives of MCOs and where to move from here.

Short URL: http://www.advancingstates.org/node/66684

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Care Coordination in Managed Long Term Services and Supports

The AARP Public Policy Institute released a new report conducted by Truven Health Analytics. The two part study examined Medicaid Managed Long Term Services and Supports program contracts in 18 different states for older adults and people with physical disabilities and case studies of new care coordination models in Ohio and Illinois. The findings indicate that states need care coordination and that these care coordinators provide crucial support for consumers and their family caregivers.

Short URL: http://www.advancingstates.org/node/66630

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Oral Health and Primary Care

The U.S. Department of Health and Human Services report and the white paper commissioned by the National Interprofessional Initiative on Oral Health both examine the wide disparities in oral health due to lack of access. The U.S. fails to provide proper access for ongoing and preventative oral health care needs. A push must be made to integrate dental care as a component of primary care. There is also a focus on the impact and burden of oral diseases and their effect on quality of life.

Short URL: http://www.advancingstates.org/node/66577

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Regulatory Review of Adult Day Services

Adult day services (ADS)--a non-residential service provided outside an individual's home for less than a full day--provides direct care to older adults and younger adults with physical disabilities. This report provides information about each state's approach to regulating this key community service. The report details different models, forms of regulation, and funding sources used by states to run ADS programs.

Short URL: http://www.advancingstates.org/node/66494

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A Right to Person-Centered Care Planning

Person-centered planning encompasses the idea that the individual is at the heart of all decisions about services, supports, and care. This report analyzes how well states are implementing a 2014 rule that creates the right to person-centered care planning for Medicaid consumers of Long-Term Services and Supports. The report is a tool for health care providers, plan administrators, and advocates to help them understand the scope of the rules and be able to identify provision shortfalls.

Short URL: http://www.advancingstates.org/node/66400

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Building the Business Case: Community Organizations Responding to the Changing Healthcare Environment for Aging Populations

Healthcare providers, payers, and CBOs have historically operated as separate care delivery systems in which the responsibility for communicating and sharing information among providers has been on the client. A follow up to N3C's symposium at the 2014 ASA's Aging in America conference, this brief presents insights and actionable approaches that attempt to close the gap between fragmented and patient-centered care to evolve with the market and better provide for our communities.

Short URL: http://www.advancingstates.org/node/66195

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Fostering Person-Centered Supports and Services in Michigan's Nursing Homes

As part of PHI's One Vision: Moving Forward project, Michigan long-term care stakeholders discussed the potential use of Medicaid financial incentives to encourage person-centered care in nursing homes.The resulting publication outlines the ideas and recommendations produced by the discussion. The stakeholders primarily considered metrics, such as resident and staff satisfaction, that could be used to quantify nursing homes' commitment to person-centeredness.

Short URL: http://www.advancingstates.org/node/66158

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