Research / Journal abstracts

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Care Coordination for Dually Eligible Medicare-Medicaid Beneficiaries

The coordination of Medicare and Medicaid benefits and services for dually eligible enrollees has been a longstanding policy challenge. Several provisions of the Affordable Care Act (ACA) attempt to address this lack of coordination. This paper reviews the major changes under the ACA directed at care coordination for the dually eligible population and then concludes with a discussion of the continuing legislative and legal challenges in integrating care for the dually eligible.

Short URL: http://www.advancingstates.org/node/53137

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Gradual Rebalancing of Medicaid Long-Term Services and Supports

A statistical model was developed to assess the effect of rebalancing on overall spending for long-term services and supports (LTSS). The model indicates that spending is affected by the way rebalancing is implemented: Gradual rebalancing can reduce spending by about 15 percent over ten years. Because many states continue to experience budget crises, policy makers must think carefully before altering spending patterns for LTSS and adopt strategies to successfully reduce overall spending.

Short URL: http://www.advancingstates.org/node/53136

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Medicaid Home- and Community-Based Services: Impact of the Affordable Care Act

This study addresses issues related to the provisions of home and community-based services (HCBS) under the Affordable care Act (ACA) legislation of 2010. ACA allowed important voluntary provisions for the expansion of HCBS under Medicaid. Although the new provisions are valuable, the law does not set minimum standards for access to HCBS, and the new financial incentives are limited especially for the many states facing serious budget problems.

Short URL: http://www.advancingstates.org/node/53134

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Integrated Care Models For Dual-Eligible Beneficiaries

As state and federal policymakers move to develop and test integrated care models for people dually eligible for Medicare and Medicaid, two new Kaiser Family Foundation articles in the June 2012 issue of Health Affairs highlight the diverse needs and challenges facing these 9 million beneficiaries, describe their current care arrangements, and raise issues to consider for proposed reforms aimed at better coordinating their care and reducing health care spending.

Short URL: http://www.advancingstates.org/node/53118

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European Long-Term Care Programs: Lessons for Community Living Assistance Services and Supports?

Discussions were conducted to uncover lessons from abroad for Community Living Assistance Services & Supports (CLASS), a federally run voluntary public long-term care insurance program created under the Accountable Care Act of 2010. Discussions were conducted during an international conference of LTC experts, followed by personal meetings & individual correspondence. Findings indicate that programs in the five countries studied have lessons, both positive & negative, relevant to CLASS design.

Short URL: http://www.advancingstates.org/node/53097

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Barriers to Use of Workplace Personal Assistance Services to Support Employment in California

Providing personal assistance services (PAS) in the workplace (WPAS) is one approach to support the employment of individuals with disabilities. This study examined the implementation of Medicaid WPAS by collecting & analyzing telephone interview data from key informants selected from county & public authority officials in California in 2010. The results showed that less than a fraction of 1% of individuals with disabilities who used Medicaid personal care services used the services at work.

Short URL: http://www.advancingstates.org/node/53095

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A National Review of Home and Community Based Services (HCBS) for Individuals with Autism Spectrum Disorders

Autism spectrum disorders are among the fastest-growing developmental disability diagnosis in the US. This growing number highlights the need to learn more about the services & supports that are currently available for adults with ASD, & consider those that will be needed throughout their adult lifespan. The purpose of the study was to investigate how people with ASD are being served across states in HCBS, including service eligibility, state trends specific to autism services & lessons learned.

Short URL: http://www.advancingstates.org/node/53094

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Consumer-Directed Personal Care: Comparing Aged and Non-Aged Adult Recipient Health-Related Outcomes Among Those With Paid Family Versus Non-Relative Providers

Risk factors associated with the incidence of recipient injuries, bedsores and contractures, and health care use among aged and non-aged adult personal care recipients are investigated. Data are from a statewide survey of aged and non-aged adult personal assistance service (PAS) recipients in California's In-Home Supportive Services (IHSS) program. Outcomes among recipients using relatives as paid providers are compared with those of recipients having non-relatives as providers.

Short URL: http://www.advancingstates.org/node/53081

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The U.S. Agency for Healthcare Research and Quality Health Care (AHRQ) Innovations Exchange

The Exchange website offers busy health professionals and researchers a variety of opportunities to share, learn about, and ultimately adopt evidence-based innovations and tools suitable for a range of health care settings and populations. The site has the following components: Searchable innovations; Searchable QualityTools; Learning opportunities and Networking opportunities.

Short URL: http://www.advancingstates.org/node/53059

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2010 Progress Report on Alzheimer's Disease

Highlighted in the report are important developments & directions in NIH-funded research, including: risk for developing Alzheimer’s; genes that play a role in the disease; neuroimaging & biomarkers that detect & track the disease; research into new treatments; lifestyle factors that may worsen or protect against the disease; & help for caregivers. Special features include animation showing the progression of Alzheimer’s in the brain & video interviews highlighting new insights into the disease.

Short URL: http://www.advancingstates.org/node/53045

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