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The Henry J. Kaiser Family Foundation

Medicaid Beneficiaries Who Need Home and Community-Based Services: Supporting Independent Living and Community Integration

This report features nine seniors and people with disabilities living in Florida, Georgia, Kansas, Louisiana, North Carolina, and Tennessee, who rely on home and community-based services (HCBS). These profiles illustrate how beneficiaries’ finances, employment status, relationships, well-being, independence, and ability to interact with the communities in which they live—in addition to their health care—are affected by their Medicaid coverage and the essential role of HCBS in their daily lives.

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The Henry J. Kaiser Family Foundation

Medicaid at 50: A Look Back – And Ahead

Medicaid, the main health insurance program for low-income people and the single largest source of public coverage in the U.S., turns 50 this year. In that time, it has grown to cover nearly 70 million Americans and become a key source of financing for safety net hospitals and health centers,…

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The Henry J. Kaiser Family Foundation

Proposed Rule on Medicaid Managed Care: A Summary of Major Provisions

This issue brief summarizes major provisions of the Notice of Proposed Rulemaking (NPRM) to modernize and strengthen federal Medicaid managed care regulations, which serves as an informational guide to key proposed new federal expectations and requirements of states and managed care arrangements, and federal oversight interests moving forward.

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The Henry J. Kaiser Family Foundation

Medicaid at 50

The Medicaid program, signed into law by President Lyndon B. Johnson on July 30, 1965, will reach its 50th anniversary this year, a historic milestone. This report reflects on Medicaid’s accomplishments and challenges and considers the issues on the horizon that will influence the course of this major health coverage and financing program moving forward.

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The Henry J. Kaiser Family Foundation

Rebalancing in Capitated Medicaid Managed Long-Term Services and Supports Programs: Key Issues from a Roundtable Discussion on Measuring Performance

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.

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The Henry J. Kaiser Family Foundation

Measuring Long-Term Services and Supports Rebalancing

This fact sheet provides a brief overview of quality measures related to long-term services and supports rebalancing.

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The Henry J. Kaiser Family Foundation

Awaiting New Medicaid Managed Care Rules: Key Issues to Watch

More than half of all Medicaid beneficiaries now receive their services in risk-based managed care plans, and states’ use of managed care is expanding. States operate their own Medicaid managed care programs within federal rules and requirements. The federal regulations were last updated in 2002 and a new proposed rule is expected in Spring 2015. This brief identifies key issues in the regulation and discusses how CMS might address them.

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The Henry J. Kaiser Family Foundation

How Much Is Enough? Out-of-Pocket Spending Among Medicare Beneficiaries: A Chartbook

This new analysis and chartbook examines out-of-pocket spending among Medicare beneficiaries, including spending on health and long-term care services and insurance premiums, using the most current year of data available from a nationally representative survey of people on Medicare. It explores which types of services account for a relatively large share of out-of-pocket spending, which groups of beneficiaries (including by age, gender, health status, and chronic conditions) are especially hard hit by high out-of-pocket costs, and trends in out-of-pocket spending between 2000 and 2010.

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The Henry J. Kaiser Family Foundation

Money Follows the Person: A 2015 State Survey of Transitions, Services, and Costs

The Money Follows the Person (MFP) demonstration provides enhanced federal matching funds, allowing states to better support Medicaid long-term services and supports beneficiaries in transitioning from institutions back to the community. This report highlights 2015 MFP enrollment and spending trends and services and supports offered across state MFP demonstrations.

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The Henry J. Kaiser Family Foundation

Medicaid’s Money Follows the Person Demonstration: Helping Beneficiaries Return Home

This brief profiles five Medicaid long-term services and supports beneficiaries who transitioned back to the community as participants in the Money Follows the Person demonstration program in Colorado, Iowa, Pennsylvania, and Texas.

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