Aging/Older Adults

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Medicaid: State Directed Payments in Managed Care

When states use a Medicaid managed care delivery system, the contracted managed care organizations (MCOs) generally determine provider payment rates. However, in certain circumstances states may direct payments to providers through the MCOs in accordance with state-set criteria. In this report, GAO describes (1) the use of state directed payments in Medicaid, and (2) CMS's changes to guidance and oversight of these payments.

Short URL: http://www.advancingstates.org/node/74002

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Updated Fact Sheet on Nursing Home Residents’ Rights and the LGBTQ+ Community

This fact sheet from the National Long-Term Care Ombudsman Resource Center, Residents’ Rights and the LGBTQ+ Community: Know Your Rights as a Nursing Home Resident, highlights federal residents' rights and nursing home requirements pertaining to lesbian, gay, bisexual and transgender (LGBTQ+) residents. The factsheet also provides options for complaint resolution, information for reporting abuse and resources regarding long-term care and LGBTQ+ advocacy.

Short URL: http://www.advancingstates.org/node/73999

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Capturing Patient and Staff Experiences to Assess Complex Care Program Effectiveness

Patient and staff-reported measures are a key way to assess the quality and experience of care for people with complex needs. CHCS worked with health care organizations to test new measures for understanding patient and staff experiences related to well-being, equity, goals of care, and care integration. This brief explores insights from the Center for the Urban Child and Healthy Family at Boston Medical Center, Hill Country Community Clinic, and Denver Health, which used these measures to assess quality within their organizations.

Short URL: http://www.advancingstates.org/node/73998

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The Biden Administration Announces a New Model to Improve Cancer Care for Medicare Patients

On Monday, June 27, 2022 the Biden Administration announced a new model aimed at improving cancer care for Medicare patients and lowering health care costs. CMS’ Center for Medicare and Medicaid Innovation designed the Enhancing Oncology Model (EOM) to test how to improve health care providers’ ability to deliver patient-centered care and consider patients’ unique needs. The model will focus on supporting patients, caregivers, and survivors, while addressing inequities and providing patients with treatments that address their individual needs.

Short URL: http://www.advancingstates.org/node/73997

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Housing and Services Resource Center

The Housing and Services Resource Center was created for people who work in the space of housing resources and homelessness services, behavioral and mental health services, independent living services and other supportive services. The Center is part of a partnership between the U.S. Department of Health and Human Services and the U.S. Department of Health and Human Services and the U.S. Department of Housing and Urban Development to expand affordable housing, improve home and community-based services, and address bias in America's long-term care system.

Short URL: http://www.advancingstates.org/node/73996

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New Updates to the BenefitsCheckUp Tool

NCOA's free BenefitsCheckUp tool, used to connect aging professionals and their community to benefits programs, has been updated to be more accessible. The new version of the tool includes details on 2,000 benefits in English and Spanish, including the Supplemental Nutrition Assistance Program, Medicare Savings Programs, Affordable Connectivity Program; free, confidential eligibility checks by program or category; and Personalized support via a call center, chat, email, and connections to local centers.

Short URL: http://www.advancingstates.org/node/73995

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Black Beneficiaries Generated Lower Medicaid Spending, Utilization

JAMA researchers found lower service use and lower Medicaid spending among the Black population for both during a review of health care spending statistics between White and Black Medicaid enrollees. Medicaid beneficiaries make up a diverse population, yet existing disparities persist. To explore differences in Medicaid spending between Black and White populations, researchers conducted a cross-sectional study using data from three states in 2016. Researchers used data from 1,966,689 enrollees in the study, including both adults and children. Of this population, 867,183 identified as non-Hispanic Black, and 1,099,506 identified as non-Hispanic White.

Short URL: http://www.advancingstates.org/node/73993

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Falls Prevention Programs: Saving Lives, Saving Money Infographic

Evidence-based community falls prevention programs can reduce falls, risk factors, and costs associated with falls. Community-based programs address a wide range of risk factors such as improving muscle strength and balance, removing home hazards that contribute to falls, and increasing confidence to engage in falls-reduction activities. NCOA's infographic highlights key statistics on falls injuries and solutions to help save lives and money.

Short URL: http://www.advancingstates.org/node/73992

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June 2022 Report to Congress on Medicaid and CHIP

MACPAC has released its June 2022 Report to Congress on Medicaid and CHIP. The report recommends measures that Congress can take to better monitor access to care for Medicaid beneficiaries, improve the oversight and transparency of managed care directed payments, increase access to vaccines for adults enrolled in Medicaid, encourage the uptake of health information technology in behavioral health, and better integrate care for Medicaid and Medicare dual-eligibles. The commission also offers policy levers that states and the federal government can use to promote equity in Medicaid.

Short URL: http://www.advancingstates.org/node/73981

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Toolkit for Partner-Led Convenings

The White House Conference on Hunger, Nutrition, and Health has released a toolkit allowing partners to provide input into the development and implementation of a national strategy on hunger, nutrition, and health that will be announced in September 2022. The toolkit is designed to faciliate conversations with members about ending hunger, improving nutrition, and increasing physical activity.

Short URL: http://www.advancingstates.org/node/73979

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