Reports

U.S. Department of Health and Human Services

This contract developed data bases to supplement the Federal Employees Health Benefits Data used to develop the drug risk adjustment system for Medicare part D drug plans for low-income and disabled populations; explored geographic variation by state in drug prices and drug utilization; and examined the joint effects on drug plan risk of the combination of drug risk-adjustment, risk-corridors a

This report describes the effects of Florida's Cash and Counseling demonstration program, Consumer Directed Care (CDC), on the caregivers who were providing the most unpaid assistance to children when their parents voluntarily enrolled those children in the demonstration.

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief provides an overview of state Medicaid Estate Recovery programs, which enable states to recoup public spending for Medicaid long-term care recipients from the estates of those recipients after their death. [12 PDF pages]

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief describes the procedures used by the state of Massachusetts in the administration of its Medicaid Estate Recovery program, with a focus on the procedures used by the state in imposing Medicaid liens on real property. [31 PDF pages]

This policy brief is one of five commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief outlines the Medicaid rules that affect community spouses of nursing home residents and widows or widowers of deceased nursing home residents. [12 PDF pages]

This policy brief is one of five commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief provides a synopsis of how the home is treated in determining Medicaid eligibility for recipients of long-term care services and the circumstances under which Medicaid may recover spending no behalf of the recipient from equity held in real property.

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief presents the fundamentals of Medicaid liens — what they are, why they are permitted, and how they are applied by state Medicaid programs.

The TRIM microsimulation model produces a baseline of Medicaid and SCHIP eligibility and enrollment using adjustments that correct for the undercount in program participation on the Current Population Survey (CPS). This report presents a detailed explanation of the TRIM mmethodology.

The study assesses the state of the managed long-term care market from the perspective of purchasers (states) and suppliers (managed long-term care contractors), addressing the following questions: (1) What is the current state of the managed long-term care market? (2) What value do managed long-term care products offer relative to the fee-for-service system?

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Medicaid Liens and Estate Recovery in Massachusetts Thomson/MEDSTAT April 2005 PDF Version

U.S. Department of Health and Human Services Medicaid Estate Recovery Thomson/MEDSTAT April 2005 PDF Version

U.S. Department of Health and Human Services Medicaid Liens Thomson/MEDSTAT April 2005 PDF Version

U.S. Department of Health and Human Services Spouses of Medicaid Long-Term Care Recipients Thomson/MEDSTAT April 2005 PDF Version

U.S. Department of Health and Human Services

TRIM3's 2001 Baseline Simulation of Medicaid and SCHIP Eligibility and Enrollment: Methods and Results TRIM3 Microsimulation Project Technical Paper April 2005 By: Linda Giannarelli, Paul Johnson, Sandi Nelson, and Meghan Williamson Urban Institute

Kristen M. Kiefer, MPPLauren Harris-Kojetin, PhDDiane Brannon, PhDTeta Barry, PhDJoseph Vasey, PhDMichael Lepore, PhD Candidate Institute for the Future of Aging Services

U.S. Department of Health and Human Services

This 2004 compendium describes regulatory provisions and Medicaid policy for residential care settings in all 50 states and the District of Columbia. It updates an earlier report completed in 2002. Information was collected between February and June 2004 by reviewing state websites and regulations and calling key state contacts to verify information.

Robert Mollica and Heather Johnson-Lamarche National Academy for State Health Policy Janet O'Keeffe RTI International PDF Version: http://aspe.hhs.gov/daltcp/reports/2005/04alcom.pdf (510 PDF pages)

According to the annual reports of the Social Security and Medicare trustees, the financial outlook for the two programs is not favorable. Under the central forecasts reported for the past 16 years under both Republican and Democratic Administrations, both programs face significant long-range

ASPE ISSUE BRIEF Social Security and Medicare from a Trust Fund and Budget Perspective April 2005 Printer Friendly Version in PDF format

This brief is based on Mathematica's study of Temporary Assistance for Needy Families (TANF) recipients as long-term care (LTC) workers. The study examined the suitability of TANF recipients for employment as certified nurse aides and home health aides and the feasibility of training recipients for these paraprofessional jobs.

The LTC industry's need for workers and TANF recipients' need for jobs could be mutually beneficial if, indeed, recipients' characteristics, skills, and circumstances match the requirements, accessibility, and availability of LTC jobs.

U.S. Department of Health and Human Services Linking TANF Recipients with Paraprofessional Long-Term Care Jobs Jacqueline Kauff, Gretchen Kirby, and LaDonna Pavetti Mathematica Policy Research, Inc. March 2005 PDF Version

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

This report examines the differences in estimates of the older population in residential care by analyzing key national surveys. In it the authors present results of a review of existing estimates of the number of residential care settings, generally divided into nursing homes and alternative residential care settings, and the number of persons residing in them.

U.S. Department of Health and Human Services

This paper examines health care spending and the impact on the economy of the United States. The relationship between health care spending growth and the U.S. economy is inherently complex and multidimensional. Rising health care spending can be viewed as both a weight on broader economic growth and as a driver of sectoral and local prosperity. [PDF - 9 pages]

Effects of Health Care Spending on the U.S. Economy This report is available on the Internet at:http://aspe.hhs.gov/health/costgrowth Printer Friendly Version in PDF Format

This Issue Brief presents analysis of data on unemployment receipt from the Census Bureau's Annual Social and Economic Supplement of the Current Population Survey (CPS). This data analysis is supplemented by findings from two studies by Mathematica Policy Research on eligibility for unemployment insurance among former welfare recipients.

ASPE ISSUE BRIEF(*) Receipt of Unemployment Insurance Among Low-Income Single Mothers January 2005 This Issue Brief is available on the Internet at:http://aspe.hhs.gov/hsp/05/unemp-receipt/

Contents Policy Context Socioeconomic Circumstances of Tribes WtW Program Framework and Implementation Program Services Lessons Learned and Useful Strategies for the Future The Welfare-to-Work (WtW) gra

Walter Hillabrant and Mack B. Rhoades, Jr. Support Services International, Inc. Nancy Pindus and John Trutko The Urban Institute

This Handbook is designed to improve understanding and provide greater clarity concerning Medicaid's contribution in supporting working-age adults with serious mental illnesses in the community.

Gary Smith, Cille Kennedy, Sarah Knipper, John O'Brien and Janet O'Keeffe Research Triangle Institute

Contents What are the characteristics of male perpetrators of child maltreatment? What specific patterns of child maltreatment are associated with male perpetrators? What outcomes are associated with male perpetrators of child maltreatment? How does th

Background Adoption subsidies are perhaps the single-most powerful tool by which the child welfare system can encourage adoption and support adoptive families. Yet little is known about the factors associated with the receipt and amount of subsidies.

Contents Research Questions and Methods Key Findings Foster homes are a critical resource within the child welfare system, with more than 260,000 children in non-relative foster care at the end of FY 2001.

Contents   Data Sources and Methodological Approach Key Findings Conclusions  

This study examines eligibility and participation among married and single parents in TANF and Food Stamp Programs. Results show that even among eligible families below 200% of poverty, married parents are less likely to participate in TANF and Food Stamps compared to single parents.

The distribution and characteristics of male perpetrators are among the least studied aspects of child maltreatment. Nonetheless, generalizations regarding this group are common. This research used the case-level data from the National Child Abuse and Neglect System (NCANDS) for 2002 to analyze the characteristics of male perpetrators of maltreatment.

Using data from the federal Adoption and Foster Care Analysis and Reporting System (AFCARS), this report explores patterns of adoption subsidy receipt, how subsidies are related to adoption outcomes such as the rate of adoptions among eligible children and how quickly eligible children are adopted.