Affordable Care Act (ACA)

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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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Analysis of President’s Fiscal Year 2012 Budget

This analysis of the President’s $3.73 trillion proposed budget for FY12 includes an outline of each funding recommendation for discretionary, appropriated programs. Included in the analysis is a comparison of HR1, the GOP-backed budget resolution that reduces spending via broad cuts, with the President’s proposed budget; a good indicator of what sorts of budgetary windows may be necessary for bipartisan support and how the budget may affect the fiscal health of aging and disabilities programs.

Short URL: http://www.advancingstates.org/node/53148

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2012 State of Aging and Disabilities Survey: Another Year of Challenges Tempered by Opportunities

State aging and disability agencies have operated within a tumultuous environment for the past several years. It has become increasingly more difficult to reconcile the needs of older adults and people with disabilities with the resources available to address those needs. Five themes are identified from the 2012 state of aging and disabilities surveys, which include the acceleration of Medicaid managed long term services and supports and continuing loss of historical knowledge around the nation.

Short URL: http://www.advancingstates.org/node/53349

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Weathering the Storm: The Impact of the Great Recession on Long-Term Services and Supports

The recession continues to affect state programs for older individuals and adults with physical disabilities. Demand for publicly funded services has grown, and resources, including staff, are stretched thin, according to this new 50-state study. 31 states have cut non-Medicaid aging and disability services programs in FY 2010, and 28 states were expecting to cut these programs in FY 2011. Find the research report, brief, video and compiled State profiles.

Short URL: http://www.advancingstates.org/node/52789

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The Impact of Health Care Reform on the Workforce Caring for Older Adults

Review a summary report of the Patient Protection and Affordable Care Act (ACA) provisions that have a direct or indirect impact on the workforce caring for the elder population, explores the challenges to developing the workforce, and critiques the adequacy of the ACA provisions in meeting those challenges. The ACA acknowledges gaps in the workforce caring for the elder population. Still, its provisions are inadequate given insufficient supply in the number and types of workers.

Short URL: http://www.advancingstates.org/node/53139

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What is a Medicaid Waiver? Long-Term Care Fundamentals #8

This issue of Fundamentals describes Medicaid waivers and how they are generally used by states. It also describes the various types of waivers currently operational in California. The paper offers a broad overview of Research and Demonstration Projects—Section 1115 Waivers; Program Waivers— Section 1915(b) and 1915(c) Waivers and Section 1915 (b) and (c). Review the matrix which summarizes the difference.

Short URL: http://www.advancingstates.org/node/52961

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State Chart Book on Wages for Personal Care Aides

This chart book compiles the median wages for personal care aides (PCAs) in each state between 2000 and 2010. It reports that PCA wages declined in 17 states between 2009 and 2010; overall, PCA wages for the entire U.S. crept downward slightly. The chart book also finds that real median wages for PCAs declined in 26 states between 2000 and 2010. Data for the chart book was gathered from the U.S. Bureau of Labor Statistics.

Short URL: http://www.advancingstates.org/node/52958

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The Aging Network and Care Transitions: Preparing your Organization Toolkit

A new resource for organizations within the Aging Network that are interested in developing a care transitions program, providing information, tools and case studies. Chapters for the toolkit include: Getting Started, Taking Time to Plan, Developing Effective Partnerships with Health Care Providers, Measuring for Success, Building Organizational Capacity, Implementation and Day-to-Day Operations. The toolkit can be downloaded by sections or in its entirety.

Short URL: http://www.advancingstates.org/node/52956

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Person-Centered Care in Assisted Living

To date, published information about person-centered care in assisted living has been sparse. This paper presents a comprehensive framework about what is needed to support person-centered care outcomes based on evidence-based practices obtained through a broad review of peer-reviewed and grey literature. This informational guide is an important resource for consumers, caregivers, and professionals.

Short URL: http://www.advancingstates.org/node/52898

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