Massachusetts

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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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Predicting 30- to 120-Day Readmission Risk among Medicare Fee-for-Service Patients Using Nonmedical Workers and Mobile Technology

Hospital readmissions are a large source of wasteful healthcare spending, and current care transition models are too expensive to be sustainable. One way to circumvent cost-prohibitive care transition programs is complement nurse-staffed care transition programs with those staffed by less expensive nonmedical workers. A major barrier to utilizing nonmedical workers is determining the appropriate time to escalate care to a clinician with a wider scope of practice.

Short URL: http://www.advancingstates.org/node/67527

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The Duals Demonstration: A First Glimpse at Lessons Learned

Justice in Aging published an issue brief that offers an analysis of the findings from the evaluation of the Financial Alignment Initiative (FAI), commonly known as the dual eligible demonstration. Research Triangle Institute was contracted by the Centers for Medicare and Medicaid Services (CMS) to conduct this evaluation, which focused on the first six months of operation of the demonstration in each of the seven states where it was rolled out.

Short URL: http://www.advancingstates.org/node/67477

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The Impact of the Affordable Care Act: A 2015 Status Report

The National Council on Disability (NCD) released a new report on implementation of the Affordable Care Act (ACA) and disabilities. This is the second of three reports on the subject. This report includes a review of the literature that studies the impact of ACA implementation on people with disabilities, qualitative interviews with key informants from ten states, an analysis of the ACA implementation choices seen in many states, and recommendations for future research on this topic.

Short URL: http://www.advancingstates.org/node/67367

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The Aging Network in Transition: Hanging in the Balance

This white paper examines the progress that is being made in the Aging Network. This paper covers key developments that are re-shaping the network as well as efforts to better measure the quality and value of its programs and services. The paper also includes: Case studies highlighting the work of the aging network in Florida, Massachusetts and California, discussion of quality initiatives and congressional actions, and concluding observations.

Short URL: http://www.advancingstates.org/node/67313

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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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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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Celebrating 50 Years with 50+ Fabulous Older People

This year, the Older Americans Act (OAA) celebrates its 50th year—a golden jubilee for seniors and communities across the country. For this occasion, ADvancing States and Altarum Institute’s Center for Elder Care and Advanced Illness (CECAI) honor outstanding older adults who both volunteer for and benefit from the law’s programs. This booklet highlights the myriad ways that seniors make the United States a great place in which to live, work, and grow old. Email adiaz@advancingstates.org for a hard copy.

Short URL: http://www.advancingstates.org/node/66889

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2015 State of the States in Aging and Disabilities

The results of the annual survey represent a snapshot of the current status of state government employees, the agencies that administer the programs, and the services that are provided. The 2015 survey revealed that states are continuing to address the same underlying challenges discussed in the previous reports.The report also includes summary tables that outline specific information about each individual state agency and LTSS program. Email adiaz@advancingstates.org to request a hard copy version.

Short URL: http://www.advancingstates.org/node/66820

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Training to Serve People with Dementia: Is Our Health Care System Ready?

Justice in Aging, in collaboration with the Alzheimer's Association, released a new survey of dementia training requirements in each state. The number of Alzheimer's and other dementia diagnoses is on the rise, but there is often little to no training for staff and professionals that work with these populations. This survey was conducted to identify the holes in state law and to find promising practices to inform improvements in the future. The findings are available in a five-paper series.

Short URL: http://www.advancingstates.org/node/66787

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