Reports

Little information exists on how to design various components of care coordination interventions for complex patients to reduce patients’ needs for hospitalizations or emergency room use. Efficient orthogonal design--a methodology widely used in manufacturing and marketing, but rarely used in

This study focuses on understanding the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and those that predict nursing home entry. This volume of this report is a descriptive examination of the

Dana Petersen, Joseph Zickafoose, Mynti Hossain and Henry Ireys Mathematica Policy Research

Evaluating PACE: A Review of the Literature

This study focuses on understanding the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and those that predict nursing home entry. This volume provides estimated econometric models that

Dana Petersen, Lisa Schottenfeld, Caroline Massad Francis, Henry Ireys and Joseph Zickafoose Mathematica Policy Research

Little information exists on how to design various components of care coordination interventions for complex patients to reduce patients’ needs for hospitalizations or emergency room use. Efficient orthogonal design--a methodology widely used in manufacturing and marketing, but rarely used in

Donna Rabiner, PhD, Janet O'Keeffe, PhD, and David Brown, MA RTI International

The Non-Elderly Disabled Category 2 (NED2) Housing Choice Voucher Program, a joint effort between the Department of Housing and Urban Development and the Centers for Medicare and Medicaid Services, aimed to increase access to affordable housing for non-elderly people (age 62 and

The Non-Elderly Disabled Category 2 (NED2) Housing Choice Voucher Program, a joint effort between the Department of Housing and Urban Development and the Centers for Medicare and Medicaid Services, aimed to increase access to affordable housing for non-elderly people (age 62 and under) with disabilities currently residing in institutions, such as a nursing home.

This report describes the different strategies that four states--Louisiana, North Carolina, Tennessee and Vermont--are utilizing to improve the integration and coordination of care for individuals with mental health and substance use disorders. These strategies include introducing new managed care

Yonatan Ben-Shalom and David Stapleton Mathematica Policy Research    

Descriptive Study of Three Disability Competent Managed Care Plans for Medicaid Enrollees

This report reviewed the literature on the effect of the Program of All-Inclusive Care for the Elderly (PACE) on Medicare and Medicaid expenditures, use of nursing home services, and mortality. PACE plans provide coordinated acute and long-term care services to nursing home eligible seniors residing in the community. [77 PDF pages] ASPE SEARCH INFORMATION

Dana Petersen, Lisa Schottenfeld, Caroline Massad Francis, Henry Ireys and Joseph Zickafoose Mathematica Policy Research January 2014  

Arkadipta Ghosh, Cara Orfield and Robert Schmitz Mathematica Policy Research January 2014  

Vanessa Oddo, Angela Gerolamo, David R. Mann and Catherine DesRoches Mathematica Policy Research January 2014  

   

This report compares the risk of nursing home entry, hospitalization rates, and Medicaid long-term care costs, among people with disabilities who faced widely-varying waiting times (ranging from 3 to 25 months), depending on when they applied for home and community-based services (HCBS) though Iowa Medicaid 1915(c) waivers.

In this report, we assessed the feasibility of using existing claims-based algorithms to identify community-dwelling Medicare beneficiaries with disability based solely on the conditions for which they are being treated and to improve the algorithms by combining them in predictive models. [39 PDF pages]

This report describes the early implementation successes and challenges of the Behavioral Health Home Plus program in two county behavioral health agencies in rural Pennsylvania. With support from a behavioral health managed care organization, this program sought to improve the delivery of

Jelena Zurovac, Randy Brown, Bob Schmitz and Richard Chapman Mathematica Policy Research January 2014  

U.S. Department of Health and Human Services 200 Independence Ave., S.W. Washington, D.C. 20201

Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare D-SNPs: The Brand New Day Study

Arkadipta Ghosh, Robert Schmitz and Randall Brown Mathematica Policy Research  

Kate Stewart, Dana Petersen, Joe Zickafoose, Beny Wu, Mynti Hossain, Lisa Schottenfeld, Caroline Massad Francis, Randall Brown and Henry Ireys Mathematica Policy Research  

January 2014

Executive Summary January 2014  

Executive Summary January 2014  

This study focuses on understanding the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and those that predict nursing home entry. This volume provides estimated econometric models that predict beneficiaries’ enrollment in Medicaid, and their entry into long-term nursing home stays.

January 2014

This report describes the different strategies that four states--Louisiana, North Carolina, Tennessee and Vermont--are utilizing to improve the integration and coordination of care for individuals with mental health and substance use disorders.

Identifying Medicare Beneficiaries with Disabilities: Improving on Claims-Based Algorithms

Prepared by: Stan Dorn, Julia Isaacs, Sarah Minton, Erika Huber, Paul Johnson, Matthew Buettgens, and Laura Wheaton The Urban Institute Under Task Order: HHSP23337026T Integrating Health and Human Services Programs and Reaching Eligible Individuals Under the Affordable Care Act

For the period: October 1 – November 30 December 11, 2013   This is the second in a series of issue briefs highlighting national and state-level enrollment-related information for the Health Insurance Marketplace (Marketplace hereafter).

Jessica Kasten, Paul Saucier and Brian Burwell Truven Health Analytics  

ASPE ISSUE BRIEF By: Emily R. Gee   Abstract

How Have Long-Term Services and Supports Providers Fared in the Transition to Medicaid Managed Care? A Study of Three States

This report summarizes the research literature on care coordination for people with Alzheimer’s disease, with a particular focus on programs that coordinate both medical care and long-term services and supports. Overall, there is limited evidence of the effectiveness of these programs in improving patient outcomes or reducing health care utilization.