Medicaid Managed Long Term Care

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Managed Long-Term Services & Supports: A Proposed Framework

UnitedHealthcare Community & State released a White Paper unveiling a proposed quality framework for MLTSS programs. The framework, developed by UnitedHealthcare's National Advisory Board, extends beyond traditional clinical measures to measure the quality of the "services and supports" delivered in MTLSS, which is often most important for those accessing MLTSS benefits.

Short URL: http://www.advancingstates.org/node/67883

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Medicaid Managed Care Enrollment and Program Characteristics, 2014

The annual 2014 Medicaid Managed Care Enrollment Report created by the Division of Managed Care Plans and the Data and Systems Group in the Center for Medicaid and CHIP Services at CMS, with assistance from Mathematica Policy Research, was released this week. Data on Medicaid enrollment is collected from every state, territory, and the District of Columbia, and is broken down into categories by program, population, and state. The report provides tables with nationwide data and data by state.

Short URL: http://www.advancingstates.org/node/67799

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Long-Term Supports and Services as a Logical Next Step in the Evolution of Bundled Payments

The historical progression of bundled payments from acute care to post-acute care and the growing recognition of the value of HCBS create an interesting opportunity for sustainably integrating medical services with other (LTSS). Building on past lessons from efforts to incorporate community-based LTSS into traditional medical care models, such as care transitions, may help to inform successful future strategies to enable bundles to more efficiently achieve the Triple Aim.

Short URL: http://www.advancingstates.org/node/67563

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Housing Options for High-Need Dually Eligible Individuals: Health Plan of San Mateo Pilot

Many individuals with long-term services and supports (LTSS) needs either reside in institutions or are at risk for institutionalization. Rebalancing care to provide LTSS in the community is one goal of the federal Financial Alignment Initiative for Medicare-Medicaid enrollees. This profile details the experiences of the Health Plan of San Mateo (HPSM) as it implements a pilot program to help dually eligible individuals in nursing facilities transition back to community living.

Short URL: http://www.advancingstates.org/node/67555

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Long-Term Care Providers and Services Users in the United States: Data From the National Study of Long-Term Care Providers, 2013–2014

This report presents the most current descriptive national information on the supply, organizational characteristics, staffing, and services offered by paid, regulated providers of long-term care services in five sectors; and the demographic, health, and functional composition of users of these services. Services users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers.

Short URL: http://www.advancingstates.org/node/67422

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A Consensus Framework for Long-Term Care Financing Reform

The Long-Term Care Financing Collaborative released a final report detailing the consensus framework for long-term care financing reform. LTCFC offered recommendations for reforms to expand access to long-term services and supports (LTSS) for individuals with all financial backgrounds. The proposed changes include: Clear private and public roles for long-term care financing; a new universal catastrophic long-term care insurance program; and redefining Medicaid LTSS to empower greater autonomy.

Short URL: http://www.advancingstates.org/node/67420

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Developing Capitation Rates for Medicaid Managed Long-Term Services and Supports Programs: State Considerations

The Center for Health Care Strategies (CHCS), in partnership with Mathematica Policy Research and Airam Actuarial Consulting, released an issue brief on the state considerations when setting capitation rates for Medicaid Managed Long-Term Services and Supports (MLTSS) programs. CHCS and its partners examined the considerations taken by eight states (Arizona, Kansas, Massachusetts, Minnesota, Tennessee, Texas, Virginia, and Wisconsin) as they established their MLTSS rates.

Short URL: http://www.advancingstates.org/node/67227

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2015 White House Conference on Aging Final Report

The White House released the final report from the White House Conference on Aging (WHCOA). President Barack Obama hosted the sixth WHCOA on July 13, 2015. Prior to the conference, events were hosted all over the United States to allow stakeholders to provide their input. The final report summarizes the work done both at the WHCOA and during the pre-conference activities and feedback elicited throughout the process.

Short URL: http://www.advancingstates.org/node/67216

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Keeping Watch: Building State Capacity to Oversee Medicaid Managed Long-Term Services and Supports

The AARP Public Policy Institute published a report that examined what state Medicaid agencies need in order to effectively monitor the performance of managed long-term services and supports (MLTSS) programs. Eight states with long-term experience operating and overseeing MLTSS were used to analyze monitoring capacities and develop promising practices. The states were: Arizona, Massachusetts, Minnesota, New Mexico, New York, Tennessee, Texas and Wisconsin.

Short URL: http://www.advancingstates.org/node/67160

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Medicaid's Role for People with Dementia

The Kaiser Family Foundation published an issue brief of the role of Medicaid for People living with dementia. Individuals with dementia generally require a multitude of medical and behavioral health services. Medicare covers some services for this population but there are gaps where Medicaid may need to fill in for payment of long term services and supports (LTSS) for low-income people. This brief includes a fact sheet for explain the role of Medicaid for people with dementia.

Short URL: http://www.advancingstates.org/node/67015

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