Reports

Leslie Foster, Barbara Phillips and Jennifer Schore Mathematica Policy Research, Inc. June 2005 This report was prepared under contract #HHS-100-95-0046 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the University of Maryland.

This report describes the implementation of consumer directed care by synthesizing information from in-person discussions with program staff, a mail survey of program consultants, telephone interviews with consumers in the treatment group, and program records.

About this Research Brief

U.S. Department of Health and Human Services

Adoption subsidies are perhaps the single most powerful tool by which the child welfare system can encourage adoption and support adoptive families. The federal Adoption Assistance Program was created by Congress in 1980 to ensure that families adopting foster children with special needs could do so without reducing or exhausting their resources.

U.S. Department of Health and Human Services

This report examines the effects of the Cash and Counseling program in three states — Arkansas, Florida, and New Jersey — regarding how consumer direction affects the use and quality of both paid and unpaid personal care assistance received by consumers, as measured by consumers' satisfaction with care, the frequency of unmet needs, and the incidence of adverse health events arising f

U.S. Department of Health and Human Services

    U.S. Department of Health and Human Services   The Effect of Cash and Counseling on Medicaid and Medicare Costs: Findings for Adults in Three States Executive Summary

  U.S. Department of Health and Human Services

This report describes a range of approaches state Medicaid agencies use to coordinate health services and to coordinate long-term care services with health services for beneficiaries with chronic conditions. It then describes in detail two innovative programs: Georgia's SOURCE program and the Indiana Chronic Disease Management Program. [66 PDF pages]

Recent research suggests that Florida's Cash and Counseling model-Consumer Directed Care (CDC)-increased the well-being of children with disabilities and their parents in Florida and that the Cash and Counseling programs in Arkansas, Florida, and New Jersey similarly increased the well-being of adults.

As the population of the United States ages, it will consume more health care. Older people suffer diseases and other medical problems to a greater extent than younger people. And with health care prices continuing to rise much faster than other goods and services, the use and societal cost of health care is expected to soar in the future.

By: Katie Merrell Senior Analyst Center for Health Administration Studies University of Chicago Submitted to:Office of the Assistant Secretary for Planning and EvaluationU.S. Department of Health and Human Services

U.S. Department of Health and Human Services Coordinating Care in the Fee-for-Service System for Medicaid Beneficiaries with Chronic Conditions

ASPE RESEARCH BRIEF Childhood Obesity By: Jennifer Bishop, Rebecca Middendorf, Tori Babin, Wilma Tilson  

Stacy Dale and Randall Brown

ASPE ISSUE BRIEF Long-Term Growth of Medical Expenditures  Public and Private May 2005 Printer Friendly Version in PDF Format

This Issue Brief presents an estimate of the number of children who meet the eligibility requirements for child care assistance under the Child Care and Development Fund. The estimates are produced by the Transfer Income Model (TRIM) developed by the Urban Institute under contract to ASPE.

ASPE ISSUE BRIEF Child Care Eligibility and Enrollment Estimates for Fiscal Year 2003 April 2005 This Issue Brief is available on the Internet at:http://aspe.hhs.gov/hsp/05/cc-elig-est03/

U.S. Department of Health and Human Services

Contents Methodology and Research questions Key Findings Recommendations for Further Research Maternity group homes offer an innovative and intensive approach to addressing the needs of an extremely vulnerable population  teenage mothers and their children who have no other

Maternity Group Homes offer an innovative and intensive approach to addressing the needs of teenage mothers and their children. ASPE contracted with MPR to conduct a study of how these programs operate and to explore options for studying them further. This report documents the implementation of maternity group homes in seven sites.

Prepared by: Lara K. Hulsey, Robert G. Wood, and Anu Rangarajan Mathematica Policy Research April 22, 2005 ASPE Project Officer: Brenda Benesch Contract No: 233-02-0086

The Census Bureau's Current Population Survey (CPS) has long served as the most widely-cited source of statistics on the nation's uninsured. But over time, the CPS has undergone several methodological changes that create some inconsistency in the time series of uninsured date.

Prepared for: Office of the Assistant Secretary for Planning and Evaluation Office of the Secretary Department of Health and Human Services Room 405F Humphrey Building 200 Independence Avenue, S.W. Washington, D.C. 20201

U.S. Department of Health and Human Services

This contract developed data bases to supplement the Federal Employees Health Benefits Data used to develop the drug risk adjustment system for Medicare part D drug plans for low-income and disabled populations; explored geographic variation by state in drug prices and drug utilization; and examined the joint effects on drug plan risk of the combination of drug risk-adjustment, risk-corridors a

This report describes the effects of Florida's Cash and Counseling demonstration program, Consumer Directed Care (CDC), on the caregivers who were providing the most unpaid assistance to children when their parents voluntarily enrolled those children in the demonstration.

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief provides an overview of state Medicaid Estate Recovery programs, which enable states to recoup public spending for Medicaid long-term care recipients from the estates of those recipients after their death. [12 PDF pages]

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief describes the procedures used by the state of Massachusetts in the administration of its Medicaid Estate Recovery program, with a focus on the procedures used by the state in imposing Medicaid liens on real property. [31 PDF pages]

This policy brief is one of five commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief outlines the Medicaid rules that affect community spouses of nursing home residents and widows or widowers of deceased nursing home residents. [12 PDF pages]

This policy brief is one of five commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief provides a synopsis of how the home is treated in determining Medicaid eligibility for recipients of long-term care services and the circumstances under which Medicaid may recover spending no behalf of the recipient from equity held in real property.

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief presents the fundamentals of Medicaid liens — what they are, why they are permitted, and how they are applied by state Medicaid programs.

The TRIM microsimulation model produces a baseline of Medicaid and SCHIP eligibility and enrollment using adjustments that correct for the undercount in program participation on the Current Population Survey (CPS). This report presents a detailed explanation of the TRIM mmethodology.

The study assesses the state of the managed long-term care market from the perspective of purchasers (states) and suppliers (managed long-term care contractors), addressing the following questions: (1) What is the current state of the managed long-term care market? (2) What value do managed long-term care products offer relative to the fee-for-service system?

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Medicaid Liens and Estate Recovery in Massachusetts Thomson/MEDSTAT April 2005 PDF Version

U.S. Department of Health and Human Services Medicaid Estate Recovery Thomson/MEDSTAT April 2005 PDF Version

U.S. Department of Health and Human Services Medicaid Liens Thomson/MEDSTAT April 2005 PDF Version

U.S. Department of Health and Human Services Spouses of Medicaid Long-Term Care Recipients Thomson/MEDSTAT April 2005 PDF Version

U.S. Department of Health and Human Services

TRIM3's 2001 Baseline Simulation of Medicaid and SCHIP Eligibility and Enrollment: Methods and Results TRIM3 Microsimulation Project Technical Paper April 2005 By: Linda Giannarelli, Paul Johnson, Sandi Nelson, and Meghan Williamson Urban Institute

Kristen M. Kiefer, MPPLauren Harris-Kojetin, PhDDiane Brannon, PhDTeta Barry, PhDJoseph Vasey, PhDMichael Lepore, PhD Candidate Institute for the Future of Aging Services

U.S. Department of Health and Human Services

This 2004 compendium describes regulatory provisions and Medicaid policy for residential care settings in all 50 states and the District of Columbia. It updates an earlier report completed in 2002. Information was collected between February and June 2004 by reviewing state websites and regulations and calling key state contacts to verify information.

Robert Mollica and Heather Johnson-Lamarche National Academy for State Health Policy Janet O'Keeffe RTI International PDF Version: http://aspe.hhs.gov/daltcp/reports/2005/04alcom.pdf (510 PDF pages)

According to the annual reports of the Social Security and Medicare trustees, the financial outlook for the two programs is not favorable. Under the central forecasts reported for the past 16 years under both Republican and Democratic Administrations, both programs face significant long-range