Chronic Disease and Co-Morbidity Among Dual Eligibles: Implications for Patterns of Medicaid and Medicare Service Use and Spending July 1, 2010 Report The health reform law contains provisions that aim to improve the delivery and coordination of services for persons enrolled in both Medicaid and Medicare, known as the dual eligibles. This population includes individuals with some of the most severely disabling chronic conditions. While the higher costs associated with services to…
Medicaid Long-Term Services and Supports: Key Changes in the Health Reform Law June 4, 2010 Issue Brief This issue brief examines new opportunities under the health reform law for states to balance their Medicaid long-term care delivery systems by expanding access to Medicaid home and community-based services (HCBS) programs. The brief outlines key provisions of the new law that expand HCBS benefit options, broaden financial and functional…
Health Care Reform and the CLASS Act April 28, 2010 Issue Brief This issue brief examines the Community Living Assistance Services and Supports (CLASS) program, a component of the health reform law that establishes a national, voluntary insurance program for purchasing community living services and supports that is designed to expand options for people who become functionally disabled and require long-term help.…
Medicaid Financial Eligibility: Primary Pathways for the Elderly and People with Disabilities February 25, 2010 Issue Brief This issue brief details the various eligibility pathways by which individuals with disabilities and the elderly can qualify for Medicaid coverage. The program, which serves as a safety net for many of the nation’s poorest and sickest individuals, provides health coverage to nearly 60 million Americans, including 8.5 million with…
The Sleeper in Health Reform: Long-Term Care and the CLASS Act October 1, 2009 Event The Kaiser Family Foundation briefing examines a little-noticed but major provision in two leading health reform bills that would change the way that the U.S. pays for long-term care. The provision, known as the Community Living Assistance Services and Supports (CLASS) Act, would establish a national voluntary insurance program that…
The Community Living Assistance Services and Supports (CLASS) Act October 1, 2009 Issue Brief This issue brief provides a brief overview of the Community Living Assistance Services and Supports (CLASS) Act, including a discussion of how the program would be financed and whom it is intended to reach. The paper was released as part of a Kaiser briefing about the act, a component of…
The Crunch Continues: Medicaid Spending, Coverage and Policy in the Midst of a Recession September 2, 2009 Event This annual 50-state survey finds that number of people on Medicaid and state spending on the program are climbing sharply as a result of the recession, straining state budgets and pressuring officials to curb costs despite increased financial help from the federal government through the American Recovery and Reinvestment Act…
Efforts in States to Promote Medicaid Community-Based Services and Supports August 31, 2009 Issue Brief This brief summarizes lessons in offering more home and community-based services from states at the forefront of the effort. It describes current options for state Medicaid programs and draws on interviews with state officials to provide details about specific policies and procedures in states. Brief (.pdf)
Key Issues in Medicaid and Home and Community-Based Services and Support August 31, 2009 Issue Brief These briefs examine current issues in providing more people who need long-term care services and supports access to these Medicaid services in home and community-based settings rather than in institutional ones. The first brief, Advancing Access to Medicaid Home and Community-Based Services: Key Issues Based on a Working Group Discussion…
Advancing Access to Medicaid Home and Community-Based Services: Key Issues Based on a Working Group Discussion with Medicaid Experts August 31, 2009 Issue Brief This brief highlights key strategies to address financing, program administration and community workforce challenges that key experts, federal and state officials and advocates believe must be overcome to expand access to home and community-based services (HCBS). Among the key ideas drawn from a working group discussion at the Foundation are…
