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Medicaid: State Directed Payments in Managed Care

When states use a Medicaid managed care delivery system, the contracted managed care organizations (MCOs) generally determine provider payment rates. However, in certain circumstances states may direct payments to providers through the MCOs in accordance with state-set criteria. In this report, GAO describes (1) the use of state directed payments in Medicaid, and (2) CMS's changes to guidance and oversight of these payments.

Short URL: http://www.advancingstates.org/node/74002

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Black Beneficiaries Generated Lower Medicaid Spending, Utilization

JAMA researchers found lower service use and lower Medicaid spending among the Black population for both during a review of health care spending statistics between White and Black Medicaid enrollees. Medicaid beneficiaries make up a diverse population, yet existing disparities persist. To explore differences in Medicaid spending between Black and White populations, researchers conducted a cross-sectional study using data from three states in 2016. Researchers used data from 1,966,689 enrollees in the study, including both adults and children. Of this population, 867,183 identified as non-Hispanic Black, and 1,099,506 identified as non-Hispanic White.

Short URL: http://www.advancingstates.org/node/73993

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June 2022 Report to Congress on Medicaid and CHIP

MACPAC has released its June 2022 Report to Congress on Medicaid and CHIP. The report recommends measures that Congress can take to better monitor access to care for Medicaid beneficiaries, improve the oversight and transparency of managed care directed payments, increase access to vaccines for adults enrolled in Medicaid, encourage the uptake of health information technology in behavioral health, and better integrate care for Medicaid and Medicare dual-eligibles. The commission also offers policy levers that states and the federal government can use to promote equity in Medicaid.

Short URL: http://www.advancingstates.org/node/73981

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2022 Senior Report

The 10th edition of the Senior Report examines 62 measures from 21 unique sources to provide a comprehensive look at the health and well-being of older Americans. The data demonstrate: Trends that reflect the changing health of our nation’s 65 and older population over the past decade. The impact that social, economic, environmental and other factors have on the health of older Americans. Disparities in health among older Americans by geography, education level, income level, gender, age and race and ethnicity.

Short URL: http://www.advancingstates.org/node/73921

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Disparities in Health Care in Medicare Advantage by Race, Ethnicity, and Sex

This report from CMS presents information on disparities in health care received by people using Medicare Advantage. The report looks at differences in quality of care based on race and ethnicity and sex as well as the intersections of race/ethnicity and sex. CMS uses data from the Consumer Assessment of Healthcare Providers and Systems and the Healthcare Effectiveness Data and Information Set in this report.

Short URL: http://www.advancingstates.org/node/73888

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Impact of the COVID-19 Pandemic on People with Disabilities

This summary of research findings gathers research findings from a variety of National Institute on Disability, Independent Living, and Rehabilitation Research projects related to the impact of COVID-19 on people with disabilities. The document highlights collects projects focusing on specific research areas including community engagement, rural populations, telehealth, students, and return-to-work accommodations.

Short URL: http://www.advancingstates.org/node/73887

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New Report Highlights How Nursing Homes with Higher Staffing Levels Have Better Five-Star Ratings and Less Instances of Abuse

The COVID-19 pandemic has highlighted long-standing issues of understaffing and insufficient care delivery in nursing homes. On February 28, 2022, the Biden Administration announced it would be implementing a minimum staffing standard for nursing homes and increasing scrutiny on corporate owned nursing homes. This report analyzes federal data regarding nursing home staffing levels and how it effects residents' outcomes.

Short URL: http://www.advancingstates.org/node/73823

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Reducing Costs for Families and States by Increasing Access to Home and Community-Based Services

The majority of individuals who need long-term services and supports (LTSS) in the United States rely on unpaid assistance from family and friends. The economic value of the unpaid care they provide is estimated to be over $470 billion annually. Unmet needs and waiting lists for Medicaid Home and Community Based Services (HCBS) place significant strain on individuals with disabilities and their families. This report explores how increasing access to HCBS services can reduce out-of-pocket costs for families and strengthen employment and financial wellbeing of family caregivers.

Short URL: http://www.advancingstates.org/node/73790

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Nursing Facility Staffing Shortages During the COVID-19 Pandemic

The impact of COVID-19 on nursing facility residents and staff has brought increased attention to existing workforce issues that affect care quality and safety, including staffing shortages and high turnover rates. This analysis presents the most recent national and state-level data on nursing facility-reported staff shortages and describes the Biden Administration’s new policy initiatives to address issues in nursing facilities. National staff shortage trend data spans from May 2020, the first month when nursing facilities were required to report COVID-19 facility data to the CDC, through March 20, 2022, the most recent week of data available.

Short URL: http://www.advancingstates.org/node/73789

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Building a National Strategy to Support Family Caregivers

This report summarizes findings from research involving stakeholder organizations working with family caregivers in the private and public sectors. The report includes insights into best practice models and action steps that can be included in the national strategy to meet the RAISE goals. Additional stakeholder groups such as the direct care workforce, county health care providers, employers, aging and disability organizations, faith-based groups, respite care providers, and others participated in a series of individual interviews and group listening sessions.

Short URL: http://www.advancingstates.org/node/73752

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