Medicare

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Information Sharing to Improve Care Coordination for High-Risk Dual Eligible Special Needs Plan Enrollees: Key Questions for State Implementation

This technical assistance tool focuses on the new “information sharing” requirement for Dual Eligible Special Needs Plans beginning in 2021. The tool explains the new requirement as well as how to address the requirement in mandatory D-SNP contracts.

Short URL: http://www.advancingstates.org/node/71731

File Downloads / Links

File Downloads / Links

File Downloads / Links

Support And Services at Home (SASH) Evaluation: SASH Evaluation Findings, 2010-2016

This new report from ASPE and HUD examines the Support And Services at Home (SASH) program from 2010-2016. The SASH program uses affordable housing properties as a method for delivering services to older adults and individuals with disabilities living in Vermont. The study used a mixed-methods evaluation to examine the effects of the SASH program on health care utilization outcomes, Medicaid expenditures, and Medicare expansion.

Short URL: http://www.advancingstates.org/node/71609

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Socially Vulnerable Older Adults & Medical-legal Partnership

This issue brief discusses the pressing legal needs of older adults and the ways that coordinating health care, legal, and social services can improve their well-being. The brief examines three medical-legal partnership programs serving older adults and explores their impact, including the prevention of homelessness and the improvement of financial stability.

Short URL: http://www.advancingstates.org/node/71211

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The Financial Hardship Faced by Older Americans Needing Long-Term Services and Supports

This study analyzes the financial burden experienced by people who require long-term services and supports. The study analyzes medical and LTSS spending among older Medicare beneficiaries, particularly the costs of assistive devices and personal care. The results show that for medical services covered by Medicare, beneficiaries with a high need for long-term services spend more than $2,700 a year out of pocket on average, twice as high as those without such need.

Short URL: http://www.advancingstates.org/node/71119

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2018 Annual Report of the Board of Trustees of the Federal Old-age and Survivors Insurance and Federal Disability Insurance Trust Funds

The 2018 OASDI Trustees Report, officially called "The 2018 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds," presents the current and projected financial status of the trust funds. Social Security and Medicare together accounted for 42 percent of Federal program expenditures in fiscal year 2017.

Short URL: http://www.advancingstates.org/node/70520

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Racial, Ethnic, and Gender Disparities in Health Care in Medicare Advantage

This report analyzes disparities in the care received by Medicare Advantage beneficiaries during 2015-2016. The report was compiled using information from the Healthcare Effectiveness Data and Information Set (HEDIS) and the Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. It looks at differences in care by race, ethnicity, and gender and also isolates racial and ethnic differences experienced by women and men.

Short URL: http://www.advancingstates.org/node/70335

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MIPPA Resources

These resources are intended to be used for education and outreach to raise awareness about the availability of Medicare benefits for low-income beneficiaries, namely the Medicare Savings Programs (MSPs) and the Medicare Part D Low-Income Subsidy (LIS/Extra Help) program. These outreach materials include posters to educate Medicare beneficiaries with disabilities about the low-income subsidies.

Short URL: http://www.advancingstates.org/node/70296

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How States Can Monitor Dual Eligible Special Needs Plan Performance: A Guide to Using CMS Data Resources

CMS regularly reports data on health plan enrollment, quality, and compliance that states can use to monitor the performance of the Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) they contract with to serve Medicare-Medicaid enrollees. This technical assistance tool shows how states can use these data to create tables, graphs, and figures and interpret their meaning in order to assess D-SNP performance.

Short URL: http://www.advancingstates.org/node/70139

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