Aging/Older Adults

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High-Performance Revisited: Examining Long-Term Services and Supports System Performance

Each edition of the AARP Public Policy Institute's Long-Term Services and Supports (LTSS) State Scorecard has measured state performance against an objective, data-driven set of metrics that illustrate how states were doing with their LTSS systems at a given time. This paper discusses the approach to the 2023 edition of the Scorecard, reflects on what has changed since the Scorecard was first published, and considers the possibilities of future editions.

Short URL: http://www.advancingstates.org/node/74237

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Advancing Health Equity While Integrating Behavioral Health in Primary Care

The AHRQ Academy has released a new guide on health equity and behavioral health integration designed to help practices reduce health disparities and advance health equity by promoting belonging, dignity and justice for providers and patients from marginalized groups. The AHRQ Academy aims to support the integration of behavioral health into primary and ambulatory care settings with a focus on providing care for patients using substances, particularly opioids, and for those with mental health conditions. This guide provides tools and resources for addressing economic and social inequities, bias, discrimination and racism.

Short URL: http://www.advancingstates.org/node/74235

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Public Health Emergency Extended

On Friday, November 11, 2022 HHS announced that it will again extend the COVID-19 Public Health Emergency (PHE). Based on commitments to provide at least 60 days’ notice prior to allowing the PHE to lapse, HHS had until Saturday, November 12, to provide states with notice that the PHE would either be extended or end in January. This means that unwinding protocol will not yet begin, and that the PHE policies such as Medicaid FMAP increases; continuous eligibility; and the 1135, Appendix K, and Emergency SPAs will remain in effect.

Short URL: http://www.advancingstates.org/node/74233

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Working with Black Communities to Improve At-Home Care Coordination for People with Dementia

The Maximizing Independence (MIND) at Home program at Johns Hopkins University provides home and community-based care coordination for individuals and families living with dementia. Through focus groups with Black caregivers, researchers at Johns Hopkins aimed to better understand the unique needs of Black patients and families living with dementia, identify opportunities to improve care delivery, and understand caregivers’ perception of the MIND at Home program. This blog post from The Playbook explains the MIND at Home program and how dementia care coordination programs can better support Black patients and their families.

Short URL: http://www.advancingstates.org/node/74229

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Congregate Meal Site Reopening Survey

The Nutrition and Aging Resource Center has partnered with the National Association of Nutrition and Aging Services Programs (NANASP) to conduct a survey of local senior nutrition providers and area agencies on aging on the status of successfully reopened congregate meal sites after the COVID-19 pandemic. The input from this survey will be used to develop webinars, trainings, and other resources that will be housed in the Resource Center in order to share best practices.

Short URL: http://www.advancingstates.org/node/74226

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From Ideation to Standard Practice: Scaling Innovations in Long-Term Services and Supports

Much innovation in the LTSS system has originated at local levels and later reached the national level after testing and support from the government, foundations and others. A new paper reviews five innovative LTSS programs to explore how they were successfully scaled up and implemented in more places. This report builds on the widely accepted model for understanding the expansion of an innovation developed by sociologist E.M. Rogers, who coined the phrase “early adopter.” Its five recommendations adapt Rogers’s framework to selecting and promoting LTSS innovations.

Short URL: http://www.advancingstates.org/node/74208

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Implementing Certain Provisions of the Consolidated Appropriations Act, 2021 and other Revisions to Medicare Enrollment and Eligibility Rules (CMS-4199-F)

On Friday, October 28, 2022, CMS issued a final rule that simplifies Medicare enrollment and eligibility rules, extends coverage of immunosuppressive drugs for certain beneficiaries, and finalizes changes to improve state payment of Medicare premiums. Beginning January 1, 2023, individuals applying for Medicare premium Part A and Part B during the last three months of their Initial Enrollment Period or during the General Enrollment Period will have their coverage start the month after they enroll, reducing delays in coverage. The rule also allows certain Medicare special enrollment periods (SEPs) to permit Medicare Part B coverage without a late enrollment penalty.

Short URL: http://www.advancingstates.org/node/74202

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Calendar Year (CY) 2023 Medicare Physician Fee Schedule Final Rule

This week CMS issued a final rule for the Calendar Year 2023 Physician Fee Schedule which includes updates and policy changes for Medicare payments and other Part B issues. Some of the changes include expanding access to behavioral health services by allowing certain health practitioners to provide and manage a beneficiary’s behavioral health needs; extending several telehealth services that are temporarily available for the COVID-19 public health emergency at least through calendar year 2023; and clarifying payment for dental examinations and treatments in more circumstances, such as prior to organ transplants and certain cardiac procedures beginning in calendar year 2023.

Short URL: http://www.advancingstates.org/node/74200

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