Measuring Long-Term Services and Supports Rebalancing February 2, 2015 Fact Sheet This fact sheet provides a brief overview of quality measures related to long-term services and supports rebalancing.
Rebalancing in Capitated Medicaid Managed Long-Term Services and Supports Programs: Key Issues from a Roundtable Discussion on Measuring Performance February 2, 2015 Issue Brief This issue brief summarizes the key issues related to measuring performance in LTSS rebalancing identified and discussed by participants in an expert roundtable meeting on November 13, 2014.
Medicaid Financial Eligibility: Primary Pathways for the Elderly and People with Disabilities February 25, 2010 Issue Brief This issue brief details the various eligibility pathways by which individuals with disabilities and the elderly can qualify for Medicaid coverage. The program, which serves as a safety net for many of the nation’s poorest and sickest individuals, provides health coverage to nearly 60 million Americans, including 8.5 million with…
Medicaid Long-Term Services and Supports: Key Considerations for Successful Transitions from Fee-For-Service to Capitated Managed Care Programs April 9, 2013 Issue Brief Although relatively few Medicaid beneficiaries are in capitated managed long-term services and supports (LTSS) programs, significant expansion is anticipated as more than half of states are implementing or proposing new programs that would include a transition from fee-for-service (FFS) to capitated managed care in the LTSS delivery system. By definition,…
Olmstead: I Did It June 1, 2004 Video This Kaiser Commission on Medicaid and the Uninsured video segment returns to the plaintiffs of the Olmstead case five years after the landmark U.S. Supreme Court decision. It reports on the impact of the decision for individuals with disabilities and some of the challenges that remain in the implementation of…
Helping Consumers Manage Long-Term Services and Supports in the Community: State Medicaid Program Activities January 20, 2011 Issue Brief The Medicaid program is a source for many innovative practices in making long-term services and supports (LTSS) available to consumers. Jointly financed by the states and the federal government, Medicaid pays for 40 percent of LTSS spending the United States. Case management services have been integral to Medicaid community-based LTSS…
Estimates of Medicare Beneficiaries’ Out-of-Pocket Drug Spending in 2006 November 1, 2004 Report This report projects the impact of the new Medicare drug benefit on out-of-pocket spending for people who enroll in 2006. This analysis from November 2004 estimates that 6.9 million beneficiaries are projected to be affected by the coverage gap (the so-called “doughnut hole”) in the standard Part D drug benefit.…
Testimony: What would strengthen Medicaid Long-Term Services and Supports? August 1, 2013 Issue Brief On August 1, 2013, Diane Rowland, Executive Vice President of the Kaiser Family Foundation and Executive Director of the Foundation’s Kaiser Commission on Medicaid and the Uninsured, testified before the Federal Commission on Long-Term Care about ways in which the Medicaid program could be strengthened to better support low-income individuals with long-term services and supports needs.
Faces of Dually Eligible Beneficiaries: Profiles of People with Medicare and Medicaid Coverage July 3, 2013 Issue Brief This brief examines the role of Medicare and Medicaid in the lives of dually eligible beneficiaries – low-income seniors and younger adults with disabilities who are eligible for both programs – through personal profiles. It includes a glossary of eligibility and service delivery system terms and state-level enrollment and expenditure data for dual eligibles.
Medicaid Managed Care in the Era of Health Reform – Briefing and Panel Discussion June 25, 2013 Event Amid increasing state and national interest in using managed care delivery models for Medicaid beneficiaries, the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU) hosted a public briefing on Tuesday, June 25, 2013 to provide information on recent transitions from fee-for-service to managed care, and to discuss their…
