Reports

Evaluating PACE: A Review of the Literature

Executive Summary January 2014  

January 2014

Identifying Medicare Beneficiaries with Disabilities: Improving on Claims-Based Algorithms

Jelena Zurovac, Randy Brown, Bob Schmitz and Richard Chapman Mathematica Policy Research January 2014  

Little information exists on how to design various components of care coordination interventions for complex patients to reduce patients’ needs for hospitalizations or emergency room use. Efficient orthogonal design--a methodology widely used in manufacturing and marketing, but rarely used in

Little information exists on how to design various components of care coordination interventions for complex patients to reduce patients’ needs for hospitalizations or emergency room use. Efficient orthogonal design--a methodology widely used in manufacturing and marketing, but rarely used in

This study focuses on understanding the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and those that predict nursing home entry. This volume provides estimated econometric models that

The Non-Elderly Disabled Category 2 (NED2) Housing Choice Voucher Program, a joint effort between the Department of Housing and Urban Development and the Centers for Medicare and Medicaid Services, aimed to increase access to affordable housing for non-elderly people (age 62 and

This report describes the different strategies that four states--Louisiana, North Carolina, Tennessee and Vermont--are utilizing to improve the integration and coordination of care for individuals with mental health and substance use disorders. These strategies include introducing new managed care

This report reviewed the literature on the effect of the Program of All-Inclusive Care for the Elderly (PACE) on Medicare and Medicaid expenditures, use of nursing home services, and mortality. PACE plans provide coordinated acute and long-term care services to nursing home eligible seniors residing in the community. [77 PDF pages] ASPE SEARCH INFORMATION

Prepared by: Stan Dorn, Julia Isaacs, Sarah Minton, Erika Huber, Paul Johnson, Matthew Buettgens, and Laura Wheaton The Urban Institute Under Task Order: HHSP23337026T Integrating Health and Human Services Programs and Reaching Eligible Individuals Under the Affordable Care Act

For the period: October 1 – November 30 December 11, 2013   This is the second in a series of issue briefs highlighting national and state-level enrollment-related information for the Health Insurance Marketplace (Marketplace hereafter).

Jessica Kasten, Paul Saucier and Brian Burwell Truven Health Analytics  

ASPE ISSUE BRIEF By: Emily R. Gee   Abstract

How Have Long-Term Services and Supports Providers Fared in the Transition to Medicaid Managed Care? A Study of Three States

This report presents information on overlaps in eligible and participating populations in various health and human services programs, and identifies three main human services programs – the Supplemental Nutrition Assistance Program (SNAP), the Low Income Home Energy Assistance Program (LIHEAP), and the Earned Income Tax Credit (EITC) – as having considerable overlap with health insurance progra

This research brief examines child poverty in 2010 using both the official poverty measure that the Census Bureau has been using since the 1960s and the more recent Research Supplemental Poverty Measure (SPM).

December 2013

State Medicaid programs are increasingly transitioning long-term services and supports (LTSS) and LTSS service users from fee-for-service into managed care. In 2004, eight states had managed long-term services and supports (MLTSS) programs; by 2012 the number had doubled to 16; and by the end of 2014, almost half the states (24) are expected to have MLTSS programs.

Executive Summary December 2013  

Literature Review

This report summarizes the research literature on care coordination for people with Alzheimer’s disease, with a particular focus on programs that coordinate both medical care and long-term services and supports. Overall, there is limited evidence of the effectiveness of these programs in improving patient outcomes or reducing health care utilization.

This report describes the RAND Corporation’s evaluation of the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Primary and Behavioral Health Care Integration (PBHCI) grants program. The PBHCI grants were designed to improve the overall wellness and physical health

Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children’s Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2014 through September 30, 2015

ASPE FMAP 2015 REPORT Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children’s Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2014 through September 30, 2015

ASPE asked RAND to review what has been learned about performance-based payment models, or Value-Based Purchasing (VBP) programs over the past decade that might help inform policymaking. Value-based purchasing programs are advancing in response to ACA requirements, including federal initiatives to accelerate redesign of delivery system through performance-based financial incentives.

This brief summarizes data released by the Census Bureau on the research supplemental poverty measure.

This report explores how several states have designed their quality monitoring and improvement programs for managed long-term services and supports (MLTSS). The authors focus on the early adopters of MLTSS as well as those programs that are presented considered "established". The findings demonstrate how states take somewhat different approaches to managed care organization oversight.

This report explores how several states have designed their quality monitoring and improvement programs for managed long-term services and supports (MLTSS). The authors focus on the early adopters of MLTSS as well as those programs that are presented considered "established". The findings demonstrate how states take somewhat different approaches to managed care organization

The goal of this project was to provide additional information to ASPE and CMS on the potential to risk adjust Medicare post-acute care (PAC) episode payments and costs using patient assessment data.

By: Kenneth Finegold Abstract

Eric Goplerud, Ph.D. NORC at the University of Chicago Printer Friendly Version in PDF Format: http://aspe.hhs.gov/daltcp/reports/2013/mhpaeAct.pdf

Approximately 6 in 10 eligible uninsured African Americans in the United States could obtain Health Insurance Marketplace tax credits, Medicaid, or the Children’s Health Insurance Program (CHIP). This ASPE Issue Brief discusses the demographics of the eligible uninsured African American population and new health insurance coverage options available to them under the Affordable Care Act.

Eric Goplerud, Ph.D. NORC at the University of Chicago

Pat Rivard, Beth Jackson and Teja Stokes Truven Health Analytics, Inc.  

A recent study commissioned by the Office of the Assistant Secretary for Planning and Evaluation has found that large employer-based plans made substantial changes to their benefit designs in response to enactment of the Wellstone-Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 and issuance of the interim final rule (IFR).