Among Dual Eligibles, Identifying The Highest Cost Individuals Could Help In Crafting More Targeted And Effective Responses April 1, 2012 Report This Health Affairs article by researchers at the Urban Institute analyzes linked Medicare and Medicaid data to examine dual eligibles’ utilization and spending in both programs in 2007. It finds that while the population of people dually eligible for Medicare and Medicaid is indeed costly, it is not monolithic. For…
Key Issues in Understanding the Economic and Health Security of Current and Future Generations of Seniors March 3, 2012 Issue Brief As part of broad deficit-reduction plans, policymakers are considering reforms to the nation’s three major entitlement programs – Medicare, Medicaid and Social Security – that could significantly affect the economic security of seniors in their retirement years. This brief examines the role of these programs in ensuring seniors’ financial security…
Money Follows the Person: An Early Implementation Snapshot June 19, 2009 Issue Brief This issue brief examines the early successes and challenges of the Money Follows the Person Demonstration (MFP), a Medicaid initiative enacted into law in 2006 that gives states enhanced federal support to balance their Medicaid long-term care programs by providing more services in the community and fewer in institutional settings.…
Vermont’s Choices for Care Medicaid Long-Term Services Waiver: Progress and Challenges As the Program Concluded Its Third Year October 31, 2008 Report Vermont's Choices for Care experiment in long-term services, created through a five-year Medicaid waiver in 2005, was designed to increase access to home and community-based services while reducing the use of institutional services and controlling overall costs. In exchange for agreeing to a federal funding cap, Vermont was able to…
Consumer Direction of Personal Assistance Services Programs in Medicaid: Insights from Enrollees in Four States March 1, 2008 Report Consumer Direction of Personal Assistance Services Programs in Medicaid: Insights from Enrollees in Four StatesMedicaid consumer direction of personal assistance services (CD-PAS) is a growing trend. Although overall enrollment in these programs is small, 42 states offered consumer direction in Medicaid in 2006. These programs allow Medicaid beneficiaries control over…
Medicaid and Long-Term Care: Recent Publications Illuminate Key Policy Issues December 19, 2006 Fact Sheet With recent policy debates about the future of Medicaid, the Foundation’s Kaiser Commission on Medicaid and the Uninsured has created a resource page of recent publications that address key policy issues when examining Medicaid’s role for high cost populations and in long-term care. Of particular interest are a report profiling…
Case Study: Georgia’s Money Follows the Person Demonstration December 1, 2011 Issue Brief This brief reports on a case study of Georgia’s Money Follows the Person (MFP) demonstration program, describing key features of the program and highlighting recent program experiences. The Georgia Department of Community Health (DCH) implemented the program in September 2008. In 2005, before the demonstration began, Georgia’s long-term care expenditures…
The Crunch Continues: Medicaid Spending, Coverage and Policy in the Midst of a Recession September 2, 2009 Event This annual 50-state survey finds that number of people on Medicaid and state spending on the program are climbing sharply as a result of the recession, straining state budgets and pressuring officials to curb costs despite increased financial help from the federal government through the American Recovery and Reinvestment Act…
Key Facts: Women and Medicare July 1, 2001 Report Medicare is a critical source of health insurance coverage for virtually all older women in the U.S. and for many younger women who have permanent disabilities. Today, 22 million women one in five adult women rely on Medicare for basic health insurance protection. In fact, women comprise 57% of the…
Medicaid and the Elderly – Policy Brief September 1, 1995 Issue Brief Medicaid and the ElderlySeptember 1995Medicaid is a crucial health financing program for the elderly population, providing assistance to over 1 in 10 Americans age 65 or older. Nearly four million elderly people receive Medicaid assistance with medical and long-term care expenses. Medicaid's coverage helps low-income elderly people gain access to…