Older Adults' Living Expenses and the Adequacy of Income Allowances for Medicaid Home and Community-Based Services
Richard W. Johnson and Stephan Lindner
Urban Institute
Printer Friendly Version in PDF Format (22 PDF pages)
Older Adults' Living Expenses and the Adequacy of Income Allowances for Medicaid Home and Community-Based Services
This brief assesses the adequacy of the income allowances granted to older Medicaid HCBS enrollees and their spouses. We measure household expenditures made by older households and compare them to the Medicaid HCBS income allowances provided by the state in which they reside, to see how much they would have to reduce their spending if they enrolle
livingexp.pdf
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Picture of Housing and Health Part 2: Medicare and Medicaid Use Among Older Adults in HUD-Assisted Housing, Controlling for Confounding Factors
The Lewin Group
Printer Friendly Version in PDF Format (67 PDF pages)
Picture of Housing and Health Part 2: Medicare and Medicaid Use Among Older Adults in HUD-Assisted Housing, Controlling for Confounding Factors
The report Picture of Housing and Health (released by ASPE in 2014), found high prevalence of chronic conditions and higher health care utilization for HUD-assisted Medicare beneficiaries compared to unassisted beneficiaries. This second report seeks to understand whether the characteristics of the sample could explain the higher utilization. Th
HUDpic2.pdf
Health Insurance Marketplace Cost Sharing Reduction Subsidies by Zip Code and County 2016
Health Insurance Marketplace Cost Sharing Reduction Subsidies by Zip Code and County 2016
Final Process Evaluation of the Balancing Incentive Program
Sarita L. Karon, PhD, Molly Knowles, MPP, Brieanne Lyda-McDonald, MS, Trini Thach, BS, and Joshua M. Wiener, PhD
RTI International
Diane Justice, MA, Scott Holladay, MPA, and John Tranfaglia, BA
National Academy for State Health Policy
Mary Sowers, BA
National Association of State Directors of Developmental Disability Services
Printer
BIPfinalproc.pdf
Final Process Evaluation of the Balancing Incentive Program
This is a follow-up to three earlier evaluation reports on the Balancing Incentive Program. The Balancing Incentive Program, legislated in the 2010 Affordable Care Act (ACA), offered states temporary enhanced federal financial participation for Medicaid home and community-based services (HCBS). Participation was limited to states that, as of 2009,
BIPfinalproc.pdf
Advancing Integrated Care: Lessons from Minnesota
Jhamirah M. Howard and Jennifer Baron
Office of the Assistant Secretary for Planning and Evaluation
Printer Friendly Version in PDF Format (8 PDF pages)
MNLessonIB.pdf
Advancing Integrated Care: Lessons from Minnesota
This brief discusses how integrated care has taken shape in the State of Minnesota, highlights findings from a study of beneficiaries in the integrated care program in Minnesota, and discusses how the state is using demonstration authority to further build on this successful model.
MNLessonIB.pdf
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. APPENDIX C: Data and Methodology for the SIPP Analysis
For this analysis, we pooled the 1996, 2001, and 2004 panels of the SIPP, a nationally representative sample of the non-institutionalized civilian population who are 15 years old and older. SIPP respondents are interviewed once every four months for the duration of the survey panel. During each interview, they provide information about the precedi
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. APPENDIX D: Supplemental Tables for Pre-Application Work Activity and Program Participation of SSDI Applicants and At-Risk Group Members
TABLE D.1 . Employment and Income Characteristics of SSDI Applicants
37-42 Months
Before SSDI
Application
31-36 Months
Before SSDI
Application
25-30 Months
Before SSDI
Application
19-24 Months
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. APPENDIX B: Methodology for the Literature Searches
In this appendix, we detail the methodology we employed to conduct two targeted literature searches: one on employment programs and outcomes for people with psychiatric disorders and one on employment programs and outcomes for people with other disabilities. The literature search and review process for both searches consisted of five stages: (1) s
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. APPENDIX A: Evidence Tables
TABLE A.1 . Evidence for Improving Employment Outcomes Through SE: Studies Included in Systematic Reviews
Systematic
Review
Source(s)
Study
Author,
Country a
Study
Design a
Intervention
(sample size) b
Health Care Spending Growth and Federal Policy
In this Issue Brief, we examine spending growth through 2014, the first year the Affordable Care Act’s coverage provisions were in effect, and 2015, where possible. We provide detailed cost growth trends for Medicare and the private insurance market. We also estimate the effect of recently introduced specialty drugs on current and future spendin
SpendingGrowth.pdf
Observations on Trends in Prescription Drug Spending
Key findings
• Expenditures on prescription drugs are rising and are projected to continue to rise faster than overall health spending thereby increasing this sector’s share of health care spending.
• ASPE estimates that prescription drug spending in the United States was about $457 billion in 2015, or 16.7 percent of overall personal
Drugspending.pdf
Short-Term Fixes to the Sustainable Growth Rate Process . Footnotes
1 E.g., GAO, Medicare Physician Payments: Concerns about Spending Target System Prompt Interest in Considering Reforms. Washington GAO, Report #GAO-05-85, October 2004.
2 Data presented in this section are based on NORC’s analysis of allowed charges from the Physician/Supplier Procedure Summary Master Files (PSPSMFs) for years 1996-2004.
Short-Term Fixes to the Sustainable Growth Rate Process . Appendix. SGR Spending Predictions
Data Sources. Implementation of the SGR process requires that CMS use the most current information at its disposal to estimate components of the SGR formula, including spending, and components that are used to calculate the SGR (which in turn, are used to calculate annual target spending and cumulated target spending). As noted in the text,
Short-Term Fixes to the Sustainable Growth Rate Process . 6.0 Discussion
The primary objective of this report has been to evaluate revisions to the current SGR physician payment update methodology with a focus on refinements to attributes of the SGR process and changes in the definition of target spending. A spreadsheet model of the current SGR process was constructed for comparative study of effects of changes in th
Short-Term Fixes to the Sustainable Growth Rate Process . 5.4 Additional Refinements
Refinements to the SGR process that have been discussed above can be considered simultaneously. Tables 15a and 15b document effects on CFs of sequentially imposing two refinements on the rebased model with drug and lab spending excluded from SGR spending: use of the higher SGR values (displayed in Table 12), e.g., to accommodate desire for hig