Medicare

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Becoming a Medicare Fee-For-Service Provider: What CBOs Need to Know

This guide highlights the benefits and opportunities available for CBOs interested in providing services under Medicare FFS. It describes important considerations including billing and filing processes, culture change, and regulatory compliance. The guide also reviews how to enroll as a Medicare provider and outlines which services CBOs can offer.

Short URL: http://www.advancingstates.org/node/72132

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COVID-19 Medicare Regulation Tracking Tool

This issue brief analyzes COVID-19 related legislative, regulatory, and subregulatory changes to Medicare from January 1, 2020 to July 24, 2020. The brief groups these regulatory changes into nine themes and examines questions regarding the policy changes moving forward. The brief is accompanied by a policy tracker that categorizes all 212 changes based on factors including types of providers and plans affected, effective date, and expected duration.

Short URL: http://www.advancingstates.org/node/72115

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Take-Up Rates in Medicare Savings Programs and the Part D Low-Income Subsidy Among Community-Dwelling Medicare Beneficiaries Age 65 and Older

This study highlights the systematic barriers that keep nearly three million low-income older adults from accessing programs that help pay for health care. This issue brief shows that one-third of people eligible for Medicare Savings Programs are not currently enrolled. Barriers to enrollment include lack of awareness around the programs or an inability to complete the process. This issue brief also identifies potential policy solutions for improving access to these assistance programs.

Short URL: http://www.advancingstates.org/node/72061

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Enticing Dually Eligible Beneficiaries to Enroll in Integrated Care Plans

The Financial Alignment Initiative (FAI) is intended to improve the quality of care and reduce spending for low-income people who are dually eligible. Mathematica researchers conducted a study to identify reasons for the varying participation rates across states. This brief explores the details of two major factors: passive enrollment and demonstration/MLTSS alignment.

Short URL: http://www.advancingstates.org/node/71771

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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

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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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