Harriet L. Komisar participated in a meeting for congressional and federal staff hosted by the National Health Policy Forum on June 18, 2010. This meeting, the third of the Focus on Reform series providing an in-depth look at various components of the Patient Protection and Affordable Care Act (PPACA) and related implementation and operational issues, was entitled <i>Long-Term Services and Supports (LTSS) and the CLASS Act</i>. Komisar’s presentation discussed financing sources for LTSS.
This presentation, given by Cynthia H. Woodcock at the National Medicaid Congress pre-conference symposium entitled Managing Current and New Dual Eligibles on June 7, 2010, discussed system coordination issues for dual eligibles in Maryland long-term care settings from a fiscal and service perspective and presented the opportunity for a coordinated care program. It also described New Mexico’s Coordination of Long-Term Services (CoLTS) program, which Hilltop helped New Mexico develop, and discussed whether coordinated long-term care was more efficient.
This report is the fourth and final report in a series that explores the cross-payer effects of providing Medicaid long-term supports and services (LTSS) on Medicare acute care resource use. The report provides a summary of the initial work of a study, described more fully in the first three reports, with an emphasis on lessons that state Medicaid administrators should consider as they move toward more formal programs of integrated care for persons dually eligible for Medicare and Medicaid (or duals, for short).
Also in this series are: A Framework for State-Level Analysis of Duals: Interleaving Medicare and Medicaid Data, A Framework for State-Level Analysis of Duals: Interleaving Medicare and Medicaid Data–Poster Presentation, Examining Rate Setting for Medicaid Managed Long-Term Care, and Examining the Medicare Resource Use of Dually Eligible Medicaid Recipients.
The Hilltop Institute carried out a resource mapping project for the state of Rhode Island as part of the state’s efforts to create a more accessible system of long-term services and supports under their federal Real Choice Systems Transformation grant. Hilltop interviewed state agency staff on their perceptions of service gaps and barriers to accessing the system of long-term services and supports; conducted a survey of providers of long-term services and supports in the state about current and future capacity to serve Rhode Islanders; and constructed a rebalancing model for projecting utilization and expenditures for Medicaid long-term services and supports through 2030. This report presents the results of these efforts.
Hilltop participated in the Long-Term Care Payment Advisory Committee (LTC PAC) convened by the Maryland Department of Health and Mental Hygiene (DHMH) and provided support to the group by conducting analyses and making presentations to inform the committee’s work. As part of its efforts, Hilltop prepared this handout regarding the current rate structure for personal care in Maryland.
The Hilltop Institute constructed a rebalancing model for the state of Rhode Island as part of the state’s efforts to create a more accessible system of long-term services and supports (LTSS) under their federal Real Choice Systems Transformation grant. This presentation provides an overview of the rebalancing model, which projects utilization and expenditures for Medicaid LTSS through 2030.
The Hilltop Institute carried out a resource mapping project for the state of Rhode Island as part of the state’s efforts to create a more accessible system of long-term services and supports under their federal Real Choice Systems Transformation grant. This presentation provides an overview of Hilltop’s final report for the project.
This fact sheet provides an overview of Medicaid long-term services and supports in Maryland. It includes information on demographic trends, home and community-based services waivers, expenditures, and dual eligibles.
Hilltop participated in the Long-Term Care Payment Advisory Committee (LTC PAC) convened by the Maryland Department of Health and Mental Hygiene (DHMH) and provided support to the group by conducting analyses and making presentations to inform the committee’s work. As part of its efforts, Hilltop prepared this handout regarding the current rate structure for medical day care and assisted living in Maryland.
This report is the third in a series that explores the cross-payer effects of providing Medicaid long-term supports and services (LTSS) on Medicare acute care resource use. The report reflects an exploratory analysis of the relationships between Medicare resource use and Medicaid long-term supports and services to address the question: Does providing Medicaid LTSS influence dually eligible Medicaid recipients’ use of Medicare resources and, if so, how and to what extent? Report results suggest two general aspects of these effects: (1) Medicaid LTSS provided in the community are associated with an increase in the number of Medicare services used with no, or limited, additional Medicare costs overall, and (2) Medicaid institutional supports offset Medicare resource use overall. Analytic methods, including propensity score matching techniques used to conduct this analysis, are also highlighted in the report. Much like the first two reports, this report is intended to provide general background information on the interplay of Medicare and Medicaid resources using data from one state—Maryland—as an example for analysts who are beginning to examine similar issues at the state and federal levels.
Also in this series are: A Framework for State-Level Analysis of Duals: Interleaving Medicare and Medicaid Data, A Framework for State-Level Analysis of Duals: Interleaving Medicare and Medicaid Data–Poster Presentation, Examining Rate Setting for Medicaid Managed Long-Term Care, and Cross-Payer Effects on Medicare Resource Use: Lessons for Medicaid Administrators.