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Advancing Value & Quality in Medicaid Service Delivery for Individuals with Intellectual & Developmental Disabilities

While healthcare payment systems are moving toward paying for value, the unique needs of individuals with I/DD and their families means that the transition toward alternative payment models (APMs) for Medicaid-funded services must be undertaken carefully. This white paper includes 14 payment reform principles to guide the development and assessment of new and emerging APMs for Medicaid I/DD services. The paper also includes 13 recommendations for current and future APMs for I/DD services.

Short URL: http://www.advancingstates.org/node/71064

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Value-Based Payment in Medicaid Managed Long-Term Services and Supports: A Checklist for States

Medicaid value-based payment (VBP) models tie payment to outcomes including quality of care, health status, and costs. This guide presents a checklist of four issues for consideration as states identify issues to consider when developing and adopting value-based payment (VBP) models for HCBS within managed long-term services and supports (MLTSS) programs. The guide also reviews strategies for stakeholder engagement.

Short URL: http://www.advancingstates.org/node/71057

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Financial Well-being of Older Americans

This report explores the factors that are associated with the financial well-being of older Americans. It looks at the association of financial well-being and a range of topics including employment and retirement; housing situation; debt; family and living arrangement; health-related experience; and financial knowledge, skill, and behavior. The findings indicate that, in general, financial well-being increases with age into the late seventies, then declines.

Short URL: http://www.advancingstates.org/node/71052

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Older Americans Act Title III-C Nutrition Services Program: An Examination of Social Activities at Congregate Meal Sites and Their Role in Improving Socialization Outcomes of Participants

This brief is based on surveys of local service providers and participants at congregate meal sites. The brief examines whether the effect of congregate meal participation on socialization outcomes differs for participants who attend meal sites that offer social activities and those who attend meal sites that do not offer these activities.

Short URL: http://www.advancingstates.org/node/71039

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October 2018 Medicaid & CHIP Enrollment Data

The Centers for Medicare & Medicaid Services released their monthly report for October 2018 on Medicaid and CHIP application, eligibility determination, and enrollment data. This report includes point-in-time data from all 50 states and the District of Columbia, including the number of applications submitted directly to Medicaid and CHIP agencies, the number of eligibility determinations made on these applications, and the total number of individuals enrolled in the Medicaid and CHIP programs.

Short URL: http://www.advancingstates.org/node/71037

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The Future of Retirement

Age Wave conducted nine recent study reports in collaboration with Bank of America Merrill Lynch on the future of retirement. These reports were created by reviewing thousands of papers, reports, and datasets, conducting over 140 expert interviews and 43 focus groups, and surveying 50,000+ respondents. The nine reports cover a variety of topics regarding retirement, including family, health, leisure, and finances. All nine reports are followed by sample media coverage.

Short URL: http://www.advancingstates.org/node/71036

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Older Women and Poverty

This three-part report begins with an examination of the causes of poverty for older women. It also explores the issue of intersectionality in light of disproportionate rates of poverty for both women of color and LGBTQ women. The second part of this report provides an overview of the various anti-poverty programs available for older women. Finally, the report concludes by offering specific policy recommendations for increasing older women’s economic security.

Short URL: http://www.advancingstates.org/node/71032

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Addressing Social Determinants of Health via Medicaid Managed Care Contracts and Section 1115 Demonstrations

This report examines 40 Medicaid managed care contracts and 25 approved Section 1115 demonstrations. It identifies common themes across state approaches to incentivizing and requiring SDOH-related activities. CHCS also provides several additional policy recommendations for bolstering SDOH investment in state Medicaid offices.

Short URL: http://www.advancingstates.org/node/70963

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