Long-Term Care - Research and Data from KFF

State Options to Expand Medicaid HCBS: Examples & Evaluations of Section 1115 Waivers

Jul 16, 2021

Issue Brief

States are currently developing plans to access an increased federal matching rate (“FMAP”) for Medicaid HCBS spending established in the American Rescue Plan Act (ARPA) of 2021. In the future, states may also be able to access increased HCBS funds proposed in the Biden Administration’s American Jobs Plan and the Better Care Better Jobs Act recently introduced in Congress. This brief highlights examples of Medicaid HCBS policy changes authorized through Section 1115 demonstration waivers in seven states (Arizona, Delaware, New Jersey, New York, Rhode Island, Vermont, and Washington). Where available, we discuss waiver evaluation findings and reports that assess the impact of these policy changes.

How Could $400 Billion New Federal Dollars Change Medicaid Home and Community-Based Services?

Jul 16, 2021

Issue Brief

This issue brief places the American Jobs Plan in the context of current Medicaid HCBS spending and considers how policymakers might allocate the new funding, as the proposal to date includes little detail.

New COVID-19 Cases and Deaths Among Nursing Home Residents Have Dropped Since Vaccinations Began

Mar 3, 2021

Feature

As of Feb. 14, 2021, weekly new deaths among nursing home residents have decreased by 83% since long-term care vaccination efforts started at the end of December, compared to a 67% increase in new deaths among all non-nursing home residents during the same period. Learn more in this Chart of the Week.

State Variation in Medicaid LTSS Policy Choices and Implications for Upcoming Policy Debates

Feb 26, 2021

Issue Brief

This brief takes a closer look at multiple measures beyond waiver waiting lists to evaluate state choices about optional Medicaid eligibility pathways, spending, and services for seniors and people with disabilities as of 2018. The analysis draws on several KFF resources, including 50-state surveys of Medicaid financial eligibility pathways for seniors and people with disabilities, HCBS waiver programs, and state plan benefits offered, as well as state Medicaid LTSS expenditures reported by Mathematica.

Long-Term Care Facilities Battled Rising COVID-19 Cases In Weeks Leading Up to Roll Out of Vaccines to Residents and Staff

Jan 20, 2021

Feature

Long-term care facility (LTCF) cases and deaths were highest in the final two months of 2020 in many states, mirroring the spike in total COVID-19 case numbers and deaths this winter.

Medicaid: What to Watch in 2021

Jan 15, 2021

Issue Brief

As the Biden Administration takes office, the ongoing effects of the coronavirus pandemic and related economic downturn are the key issues that will substantially shape Medicaid coverage and financing policy in the year ahead.

January 14 Web Event: A Shot in the Arm For Long-Term Care Facilities? Early Lessons from the COVID-19 Vaccine Rollout to High Priority Populations

Event Date: Jan 14, 2021

Event

With the pandemic taking a heavy toll among older Americans, the Centers for Disease Control and Prevention and most states have placed a high priority on vaccinating residents and staff of long-term care facilities.

Despite Efforts to Slow the Spread of the Virus in Long-Term Care Facilities, KFF Analysis Finds Many States Experienced the Worst COVID-19 Outbreaks and Highest Number of Deaths in December

Jan 14, 2021

News Release

For some regions of the country, recent months have brought the worst COVID-19 outbreaks in long-term care facilities since the start of the pandemic, a new KFF analysis of state-reported cases and death shows, underscoring the importance of current efforts to vaccinate this high priority group.

Factors Associated With COVID-19 Cases and Deaths in Long-Term Care Facilities: Findings from a Literature Review

Jan 14, 2021

Issue Brief

This issue brief reviews findings from 30 studies that have examined potential factors associated with COVID-19 cases and/or deaths in long-term care facilities.

New National and State Estimates for Recommended COVID-19 Vaccination Priority Population

Dec 10, 2020

News Release

This month the Centers for Disease Control and Prevention (CDC) adopted a recommendation that health care workers and long-term care residents should be the first to receive the COVID-19 vaccine once it is authorized or approved by the FDA. A new KFF analysis estimates there are 15.

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