Improving Information Sharing in Medicaid Home and Community-Based Services with Learning Health Systems: Implications for Older Adults and Individuals Living with Disabilities and Dementia
08/01/2025
Medicaid home and community-based services (HCBS) support community living for older adults and individuals living with disabilities. Information sharing and effective communication among home care team members are critical to HCBS care coordination but are often fragmented, resulting in potentially avoidable consequences, particularly for persons living with complex health conditions, like dementia. Medicaid HCBS programs collect a range of data that could be leveraged in a learning health system (LHS) model to strengthen coordination between home care team members to improve outcomes and equity in HCBS care delivery. This study, coauthored by Hilltop Senior Director of Aging & Disability Studies Christin Diehl, leveraged Friedman’s Socio-Technical Infrastructure for LHS to consider information sharing capabilities and needs within Medicaid HCBS in Maryland.