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This report explores how several states have designed their quality monitoring and improvement programs for managed long-term services and supports (MLTSS). The authors focus on the early adopters of MLTSS as well as those programs that are presented considered "established". The findings demonstrate how states take somewhat different approaches to managed care organization oversight.
A recent study commissioned by the Office of the Assistant Secretary for Planning and Evaluation has found that large employer-based plans made substantial changes to their benefit designs in response to enactment of the Wellstone-Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 and issuance of the interim final rule (IFR).
Approximately 6 in 10 eligible uninsured African Americans in the United States could obtain Health Insurance Marketplace tax credits, Medicaid, or the Children’s Health Insurance Program (CHIP). This ASPE Issue Brief discusses the demographics of the eligible uninsured African American population and new health insurance coverage options available to them under the Affordable Care Act.
This report explores how several states have designed their quality monitoring and improvement programs for managed long-term services and supports (MLTSS). The authors focus on the early adopters of MLTSS as well as those programs that are presented considered "established". The findings demonstrate how states take somewhat different approaches to managed care organization
The goal of this project was to provide additional information to ASPE and CMS on the potential to risk adjust Medicare post-acute care (PAC) episode payments and costs using patient assessment data.
Use of electronic health information exchange (HIE) with and by long-term and post-acute care (LTPAC) providers lags behind that of physicians and hospitals. However, a few grant programs have supported HIE with LTPAC providers.
Since the Great Recession poverty has increased overall and particularly for children. Nearly all of the increase in child poverty occurred between 2007 and 2010 with the national rate rising by 3.8 percentage points, as shown by the orange bars (from 18.0 percent to 21.8 percent). In 2011 and 2012 the national poverty rate leveled off with little change, as shown by the green bars.
This brief analyzes and summarizes changes in child poverty from 2007-2012. Cited statistics include changes in the poverty rate and number of children in poverty by age, race and ethnicity, family type, and immigrant generation.
As the number of immigrant children and children of immigrants in the U.S. has grown, child welfare agencies are serving an increasingly diverse spectrum of families, including many with at least one parent or some children who were born outside the U.S.
Final White Paper Contract # HHSP2333700IT Prepared for: James Sorace, MD, MS, Michael Millman, PhD Assistant Secretary for Planning and Evaluation U.S. Department of Health & Human Services 200 Independence Ave. S.W. Washington, DC 20201
Research Addressing the HHS Strategic Framework on Multiple Chronic Conditions Contract # HHSP2333700IT Prepared for: James Sorace, MD, MS Michael Millman, PhD
Angela M. Greene, MS, MBA, Joshua M. Wiener, PhD, Galina Khatutsky, MS, Ruby Johnson, MA, MS, and Janet O'Keeffe, DrPH RTI International September 2013 This report was prepared under contract #HHSP23320095651WC between the U.S.
This report describes how frequently various quality requirement elements appear in managed care organization contracts, as well as some similarities and differences in the quality requirements.
Executive SummaryThe Affordable Care Act continues to bring transparency and scrutiny to health insurance rate increases. Because of the law, the Department of Health and Human Services (HHS), along with states, is working to hold insurance companies accountable by requiring them to document, submit for review, and publicly justify rate increases of 10 percent or more.
This report describes how frequently various quality requirement elements appear in managed care organization contracts, as well as some similarities and differences in the quality requirements. [139 PDF pages]
ASPE REPORT The Feasibility of Using Electronic Health Data for Research on Small Populations September 2013 By: Kelly Devers, Bradford Gray et. Al. Disclaimer
Teja Stokes, Beth Jackson and Pat Rivard Truven Health Analytics, Inc. September 2013 Printer Friendly Version in PDF Format: http://aspe.hhs.gov/daltcp/reports/2013/verifyRB.pdf (8 PDF pages)
As of the beginning of 2013, 16 states had Medicaid managed long-term services and supports (MLTSS) plans available, with enrollment being either mandatory or voluntary for target populations that varied by state (e.g., elderly, younger adults with adult-onset disabilities, persons with intellectual or other developmental disabilities).
As of the beginning of 2013, 16 states had Medicaid managed long-term services and supports (MLTSS) plans available, with enrollment being either mandatory or voluntary for target populations that varied by state (e.g., elderly, younger adults with adult-onset disabilities, persons with intellectual or other developmental disabilities).