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Innovative Financing and Care Models to Scale Affordable Housing Solutions for Middle-Income Older Adults

The Milken Institute's latest report sheds light on a noteworthy demographic shift taking place in the United States. Projections suggest that by 2034, the population of older adults (aged 65 and above) will surpass that of individuals under 18. This shift is anticipated to lead to a significant rise in the older adult population, reaching 80 million by 2040, up from 55.7 million in 2020. Notably, the segment of the population aged 85 and older, requiring increased assistance, is expected to double by 2040. This demographic transformation poses challenges in providing appropriate and affordable housing and care options for older adults...

Short URL: http://www.advancingstates.org/node/75258

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What Are the Implications of the Recent Elimination of the Medicaid Prescription Drug Rebate Cap?

KFF recently released a policy watch titled “What Are the Implications of the Recent Elimination of the Medicaid Prescription Drug Rebate Cap?” As of January 1, 2024, the American Rescue Plan Act (ARPA) lifted the cap on the total amount of rebates that Medicaid could collect from manufacturers who raise drug prices substantially over time. Anticipating the implementation of this policy, drug manufacturers have made various changes allowing them to avoid increased rebates resulting from the lifting of the cap. Recent changes that have garnered attention include price cuts for insulin, used to treat diabetes, and the discontinuation of Flovent, a frequently used asthma inhaler....

Short URL: http://www.advancingstates.org/node/75256

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States Obtain Special Waivers to Help Unwinding Efforts

KFF recently published a policy watch examining the challenges faced by states during the unwinding of continuous Medicaid enrollment, resulting in over 14 million disenrollments, primarily due to procedural issues. To assist states in meeting federal renewal requirements, CMS has granted temporary waivers under "1902(e)(14)(A)," categorized into four buckets: options to increase ex parte renewals, support for enrollees in completing renewal forms, updating enrollee contact information, and facilitating re-enrollment for individuals disenrolled due to procedural terminations. As of January 12, 2023, CMS had approved a total of 392 waivers for 49 states and the District of Columbia...

Short URL: http://www.advancingstates.org/node/75255

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Trends in Retail Prices of Prescription Drugs Widely Used by Older Americans, 2006 to 2020

The AARP Public Policy Institute's latest report in their Rx Price Watch series highlights the impact of prescription drug price increases on consumers, employers, private insurers, and taxpayers, affecting programs like Medicare and Medicaid. The report presents annual and 15-year cumulative price changes, until the end of 2020, for a comprehensive set of 943 prescription drugs widely used by older adults, emphasizing the potential long-term consequences on health care coverage costs, taxes, and public programs.

Short URL: http://www.advancingstates.org/node/75254

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Unwinding of Medicaid Continuous Enrollment: Key Themes from the Field

KFF recently released an issue brief titled “Unwinding of Medicaid Continuous Enrollment: Key Themes from the Field,” exploring the implications of the end of Medicaid continuous enrollment on March 31, 2023. As continuous enrollment comes to an end, states will be required to complete an eligibility renewal for all Medicaid and CHIP enrollees by May 2024 – a process commonly referred to as “unwinding.” This brief examines the perspectives of state officials and others involved in the unwinding process. KFF worked with PerryUndem to conduct interviews with representatives from Medicaid managed care plans, primary care associations, legal aid and other advocacy organizations, and navigator organizations in four states...

Short URL: http://www.advancingstates.org/node/75252

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States Continue Modifying Assisted Living Regulations

The National Center for Assisted Living (NCAL) recently announced the publication of its annual Assisted Living State Regulatory Review. This report summarizes key selected state requirements for assisted living licensure or certification. It provides information for every state and the District of Columbia on topics such as which state agency licenses assisted living, recent legislative and regulatory updates affecting assisted living, scope of care, limitations of services, staffing, and training. The report also includes requirements for communities that offer older adults and people with disabilities housing and person-centered supportive and/or health care services but may use a different term than assisted living...

Short URL: http://www.advancingstates.org/node/75219

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Working-Age Adults with Disabilities Living in the Community

In response to the National Institutes of Health recently designating people with disabilities as a population experiencing health disparities, as well as the Department of Health and Human Services’ (HHS) proposed rule that would update the requirements for nondiscrimination on the basis of disability, KFF has released a data analysis titled “Working-Age Adults with Disabilities Living in the Community.”...

Short URL: http://www.advancingstates.org/node/75212

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Adult Protective Services in 2022: Responding to Evolving Needs in a Changing Environment

ADvancing States is pleased to publish findings from the 2022 national survey of Adult Protective Services (APS) Programs in the report Adult Protective Services in 2022: Responding to Evolving Needs in a Changing Environment. ADvancing States conducted this survey to assess the current state of APS programs and identify trends related to topics such as caseload, staff retention, and client assessment. Additionally, there was a special focus placed on clients experiencing self-neglect. Since the prior ADvancing States APS report was published, Adult Protective Services in 2012: Increasingly Vulnerable, the field of APS has experienced a variety of new opportunities and challenges...

Short URL: http://www.advancingstates.org/node/75200

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A Closer Look at Sandwich Generation Caregivers of Medicare Beneficiaries

AARP recently released a report using qualitative and quantitative data to depict sandwich generation caregivers who are caring for Medicare beneficiaries. The combined dynamics of Americans delaying having children and younger generations taking on caregiving for older adults are leading to a new picture of what it means to be sandwiched between two generations who need daily care. Early research has shown the negative impact the compounded responsibility of caring for an older adult while still caring for young children can have on caregivers’ physical health, well-being, and financial welfare....

Short URL: http://www.advancingstates.org/node/75195

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Findings on Equity in Long-Term Services and Supports

ATI Advisory, in collaboration with the Robert Wood Johnson Foundation, recently released three deliverables as part of their project to address equity in access to long-term services and supports (LTSS). This work has benefited greatly from the contributions of key stakeholders across 30+ unique engagements, including interviews, roundtables, and focus groups. The perspectives, insights, and experiences shared by these individuals were instrumental in the development of the project's findings and helped identify challenges experienced by individuals from historically marginalized communities in accessing LTSS....

Short URL: http://www.advancingstates.org/node/75191

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