Evaluate Evidence on Care Integration. HHS continued to explore how service delivery models that integrate acute care and LTSS add value beyond that of the traditional, fragmented care system. The project will have a special focus on integrated care functions for people with disabilities and cognitive impairment, and will describe payment policies that promote integrated care. This information will help HHS compare and evaluate existing integrated care interventions and support their growth. Information from the project will facilitate the expansion of promising integrated care models to improve care for Medicare and Medicaid beneficiaries with AD/ADRD.
Alzheimer's Disease and Related Dementias Affinity Group. CMS regularly convenes its staff experts through an AD/ADRD "Affinity Group" to align and coordinate efforts, and to advance programs and policies in this important area. In 2017, the AD/ADRD Affinity Group, with the help of ACL, sponsored a 1-day training on person-centered planning for individuals with dementia and other conditions.
Long-Term Care "Rebalancing". CMS issued the annual LTSS expenditure report, which summarizes national trends in LTSS (institutional care, and HCBS) data and spending, the percent of Medicaid spending used for LTSS, the HCBS portion of total LTSS expenditures, state spending variation, population groups, and shifts in federal statutory authorities used by states to deliver HCBS.
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New York State Centers of Excellence for Alzheimer's Disease. NYSDOH invested $4.7 million to create regional Centers of Excellence for Alzheimer's Disease (CEADs) to enhance the quality of dementia diagnoses and care across the state. Ten CEADs were designated and funded in the amount of $470,000 to provide integrative and comprehensive medical services for the diagnosis of AD/ADRD; coordinate patient care and treatment for people with AD/ADRD; support and refer patients and their caregivers to community services; promote the benefits of participation in research; demonstrate strong working relationships with community organizations and care providers; promote public awareness about AD/ADRD; and train health care providers and students in health care professions on the detection, diagnosis and treatment of AD/ADRD.