Beyond Cash and Counseling: The Second Generation of Individual Budget-Based Community Long-Term Care Programs for the Elderly December 31, 2006 Report States are increasingly interested in the individual budget model for older Medicaid beneficiaries as a mechanism to improve responsiveness of benefits to beneficiaries’ needs and preferences and to increase their ability to remain outside or leave nursing homes. Beginning in January 2007, a new provision in the Deficit Reduction Act…
Survey of People with Disabilities November 30, 2003 Poll Finding People with disabilities are at risk in the health-care system because of their wide-ranging health-care needs, their relatively heavy use of prescription drugs, health-care and support services, and typically low incomes. A new survey of people with permanent mental and/or physical disabilities explores their health-care experiences and challenges in accessing…
Kaiser Family Foundation Resources on Deficit-Reduction Debate October 31, 2012 Report These Foundation resources shed light on how the ongoing national debate about deficit reduction may affect Medicare, Medicaid and other health-care programs. These resources include analysis of specific savings proposals, polling on the public’s views of deficit-reduction options, summaries and comparisons of relevant elements of major deficit-reduction plans, and explanatory…
Case Study: Ohio’s Money Follows the Person Demonstration (HOME Choice) January 30, 2011 Issue Brief This case study of Ohio’s Money Follows the Person demonstration, known as HOME Choice, describes key features of the program and highlights early program experiences. Ohio was one of 17 states to receive federal funding for the Money Follows the Person (MFP) rebalancing demonstration in January 2007. The state was…
Medicare’s Role for Dual Eligible Beneficiaries April 4, 2012 Issue Brief About 9 million low-income seniors and younger people with disabilities in the United States are covered by both Medicare and Medicaid. This brief examines the role of Medicare in providing health coverage for these beneficiaries. Medicare is the primary source of health insurance, while Medicaid provides supplemental coverage, helping with…
Consumer Direction of Personal Assistance Services in Medicaid: A Review of Four State Programs March 1, 2008 Report Consumer Direction of Personal Assistance Services in Medicaid: A Review of Four State ProgramsMedicaid 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 hiring,…
Long-Term Service and Supports: The Future Role and Challenges for Medicaid September 29, 2007 Report This report examines the structure and impact of Medicaid’s role in long-term care. Based on a roundtable discussion of policy makers and experts and drawn from a body of health services research, the report highlights policy challenges facing the Medicaid program today and identifies issues in providing long-term care going…
Beyond Cash and Counseling: An Inventory of Individual Budget-based Community Long-Term Care Programs March 31, 2006 Issue Brief Beyond Cash and Counseling: An Inventory of Individual Budget-based Community Long-Term Care ProgramsThis brief describes the evolution of beneficiary-managed home and community-based services since the original demonstration and provides an overview of state activity as of January 2006. The Deficit Reduction Act of 2005 gives states the option to use…
Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid Assets Transfer Practices January 31, 2006 Report Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid AssetsTransfer PracticesIn the Deficit Reduction Act of 2005, Congress tightened Medicaid asset transfer rules for individuals qualifying for Medicaid assistance with nursing home bills. Research on asset transfer shows a low incidence of asset transfers and limited cost savings from tightening…
Asset Transfer and Nursing Home Use October 31, 2005 Issue Brief Asset Transfer and Nursing Home UseThis issue brief examines asset transfer data of elderly nursing home residents and finds that for those who qualify for Medicaid, their average asset transfer are small, sufficient to cover about one month of private nursing home care.Issue Brief (.pdf)