New Reports Explain Medicaid’s Role in Long-Term Care and Track Trends
With short and long-term policy changes to the Medicaid program being discussed, its role in providing long-term care is receiving closer examination.
View the Latest: Long-Term Care
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Massachusetts and Washington: Financial Alignment Demonstrations for Dual Eligible Beneficiaries Compared
Fact SheetThis fact sheet examines the similarities and differences between the five-year demonstrations in Massachusetts and Washington state to integrate care and align financing for people dually eligible for Medicare and Medicaid.
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Examing the Role of Private Long-Term Care Insurance in the Financing of Long-Term Care
Issue BriefAs the long-standing gap between Americans’ need for long-term care services and the public and private funding available to pay for them grows ever wider, this policy brief from the Kaiser Commission on Medicaid and the Uninsured examines the fundamentals of private long-term care insurance.
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Profiles of Medicaid’s High Cost Populations
Issue BriefThis paper examines the role that Medicaid plays in addressing six populations (preterm birth babies, foster care children, individuals with spinal cord and traumatic brain injuries, individuals with mental illness, individuals with intellectual and developmental disabilities, and people with Alzheimer's disease) with serious health needs resulting in high costs.
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Financial Incentives in the Long-Term Care Context: A First Look at Relevant Information
ReportFinancial Incentives in the Long-Term Care Context: A First Look at Relevant Information This report reviews Medicare's payment policies as they may affect medical care for residents in long-term care environments, including a look at the financial incentives that could play a role in hospital and skilled nursing facility admissions.
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Massachusetts’ Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries
Issue BriefMassachusetts is the first state to finalize a memorandum of understanding (MOU) with the Centers for Medicare and Medicaid Services (CMS) to test CMS's capitated financial alignment model for beneficiaries who are dually eligible for Medicare and Medicaid, with enrollment beginning on April 1, 2013.
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Medicaid’s Role in Long-Term Care: Q & A
Fact SheetFinancing long-term care for the nearly 10 million Americans who need services and support to assist them in life’s daily activities continues to challenge the nation. While Medicaid is the nation’s major source of financing for long-term care services, paying for over 40% of total long-term care, its role is not well understood.
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Olmstead v. L.C.: The Interaction of the Americans with Disabilities Act and Medicaid
Event Date:EventThis policy brief describes the relationship of the Americans with Disabilities Act and Medicaid services and the impact of the U.S. Supreme Court's Olmstead v. L.C. decision. Policy Brief (.
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Medicaid’s Role for Children with Special Health Care Needs: A Look at Eligibility, Services, and Spending
Issue BriefThis issue brief describes the role that Medicaid plays for children with special health care needs. It explains common eligibility pathways, covered services, and program spending for these children. The Appendix includes 50-state data on the number of children with special health care needs covered by Medicaid/CHIP. A companion brief compares key characteristics of Medicaid/CHIP children with special health care needs to those covered by private insurance.
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What is Medicaid Estate Recovery?
Issue BriefUnder estate recovery, state Medicaid programs are required to recover the costs of long-term care and related hospital and prescription drug services for enrollees ages 55 and older. KFF examines the wide variation in estate recovery practices across states as well as the criticisms of this policy, which have led to federal proposals to modify or reduce it.