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The Henry J. Kaiser Family Foundation

Getting Connected: Can the ACA Improve Access to Health Care in Rural Communities?

Residents of rural communities face unique health care challenges, including fewer health care providers, higher rates of chronic disease, and lower adoption rates of health information technology. This October 13 briefing, cosponsored by the Alliance for Health Reform and the United Health Foundation, looked at the many provisions in the…

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The Henry J. Kaiser Family Foundation

Community Coalitions: Pursuing Better Quality Health Care One Locality at a Time

Stakeholders in dozens of communities around the nation are taking action to improve quality of care locally by engaging in one or more collaborations. What does each program offer? What goals do they have in common? How do they relate to a national quality strategy? This briefing, cosponsored by the…

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The Henry J. Kaiser Family Foundation

State Options That Expand Access to Medicaid Home and Community-Based Services

This background paper examines various aspects of the Medicaid program that can expand access to home and community-based services (HCBS) and rebalance long-term care spending in favor of HCBS. As a result of the long-standing requirement that states cover facility-based care, the majority of Medicaid long-term care (LTC) expenditures historically…

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The Henry J. Kaiser Family Foundation

More Than Meets the Eye: Long-Term Care Provisions in the New Reform Law

In the debates around the health reform law and its implementation, little attention has been given to the law’s provisions supporting long-term care. This briefing offered an overview of these provisions, such as the CLASS Act, a new national, voluntary insurance program to help working adults finance services and supports…

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The Henry J. Kaiser Family Foundation

Examining Medicaid Managed Long-Term Service and Support Programs: Key Issues To Consider

There is increased interest among states in operating Medicaid managed long-term services and support (MLTSS) programs rather than paying for long-term services and supports (LTSS) on a fee-for-service basis, as has been the general practice. This issue brief examines key issues for states to consider if they are contemplating a…

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The Henry J. Kaiser Family Foundation

Case Study: Georgia’s Money Follows the Person Demonstration

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…

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The Henry J. Kaiser Family Foundation

Medicaid Managed Long-Term Services and Supports: Are More Caution and Oversight Needed?

The Alliance for Health Reform and AARP sponsor an August 3rd briefing to discuss who is being served by Medicaid managed care, how enrollment is determined, and whether sufficient oversight of the programs exist. Speakers will explore such questions as: Does Medicaid managed care cover a full range of long-term…

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The Henry J. Kaiser Family Foundation

Medicaid’s Long-Term Care Users: Spending Patterns Across Institutional and Community-based Settings

The nation’s primary payer for long-term services and supports, Medicaid finances 43 percent of all spending on long-term care services and covers a range of services and supports, including those needed by people to live independently in the community, as well as services provided in institutions. This report provides an…

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The Henry J. Kaiser Family Foundation

Money Follows the Person: A 2011 Survey of Transitions, Services and Costs

With the passage of health reform, the Money Follows the Person (MFP) demonstration grant program was extended through 2016 giving states further options to transition Medicaid beneficiaries living in institutions back to the community. Enacted into law in 2006 as part of the Deficit Reduction Act (DRA), the MFP demonstration…

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The Henry J. Kaiser Family Foundation

Case Study: Michigan’s Money Follows the Person Demonstration

This case study looks at Michigan’s Money Follows the Person (MFP) demonstration program, which has enabled the state to accelerate existing transition activities and increase access to home- and community-based services (HCBS) by providing enhanced federal funds for each MFP participant’s 365-day enrollment period. Through MFP, Michigan is able to…

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