“The 2013 Long-Term Budget Outlook,” (September 2013, .pdf format, 121p.).
September 18, 2013
September 16, 2013
CAAR – Moment of Truth Project/National Coalition on Health Care Report – September 16, 2013
“Achieving Real Savings through Better Care: Policy Options for Improving Care and Slowing Cost Growth through Bipartisan Delivery System and Payment Reform,” (September 2013, .pdf format, 40p.).
September 10, 2013
CAAR – Center for Policy Research [Maxwell School, Syracuse University] Brief – September 10, 2013
“Medicaid Expansion, Long-Term Care Financing in Retirement States and the Post World War II Birth Cohort,” by Toni P. Miles (August 2013, .pdf format, 22p.).
www.maxwell.syr.edu/uploadedFiles/cpr/publications/cpr_policy_briefs/pb48.pdf
September 3, 2013
CAAR – US Department of Health and Human Services, Office of Inspector General Reports – September 3, 2013
A. “Frequency of Medicare Recertification Surveys for Hospices Is Unimproved,” (OEI-06-13-00130, August 2013, .pdf format, 8p.).
oig.hhs.gov/oei/reports/oei-06-13-00130.asp
B. “Medicaid Drug Pricing in State Maximum Allowable Cost Programs,” (OEI-03-11-00640, August 2013, .pdf format, 41p.).
August 28, 2013
CAAR – AARP Public Policy Institute Report – August 28, 2013
“Consumer Choices and Continuity of Care in Managed Long-Term Services and Supports: Emerging Practices and Lessons,” by Paul Saucier, Brian Burwell, and Alissa Halperin (August 2013, .pdf format, 34p.).
August 22, 2013
CAAR – US Centers for Medicare and Medicaid Services Article – August 22, 2013
“Effect of Long-term Care Use on Medicare and Medicaid Expenditures for Dual Eligible and Non-dual Eligible Elderly Beneficiaries,” by Robert L. Kane, Andrea Wysocki, Shriram Parashuram, Tetyana Shippee, and Terry Lum (Medicare & Medicaid Research Review, Vol. 3, No. 3, August 2013, .pdf format, 22p.).
August 19, 2013
CAAR – Center for Health Care Strategies Briefs – August 19, 2013
A. “Developing Provider Networks for Medicaid Managed Long-Term Services and Supports Programs: Considerations for States,” by Julie Klebonis and Sarah Barth (July 2013, .pdf format, 5p.).
www.chcs.org/publications3960/publications_show.htm?doc_id=1261549
B. “Building State Capacity to Implement Integrated Care Programs for Medicare-Medicaid Enrollees,” by Michelle Herman Soper (July 2013, .pdf format, 9p.).
www.chcs.org/info-url_nocat5108/info-url_nocat.htm?type_id=1051
C. “Three State Paths to Improve Medicaid Managed Long-Term Care: Florida, New Jersey, and Virginia,” by Sarah Barth and Brianna Ensslin (July 2013, .pdf format, 7p.).
www.chcs.org/info-url_nocat5108/info-url_nocat.htm?type_id=1051
July 25, 2013
CAAR – Kaiser Family Foundation Brief – July 25, 2013
“Development of the Financial Alignment Demonstrations for Dual Eligible Beneficiaries: Perspectives from National and State Disability Stakeholders,” by Jeffrey S. Crowley, MaryBeth Musumeci and Erica L. Reaves (July 2013, .pdf format, 21p.).
July 17, 2013
CAAR – Kaiser Family Foundation Issue Brief – July 17, 2013
“Faces of Dually Eligible Beneficiaries: Profiles of People with Medicare and Medicaid Coverage,” by Erica L. Reaves, MaryBeth Musumeci, Gretchen Jacobson, Michael Perry, Naomi Mulligan Kolb and Loren Saulsberry (July 2013, .pdf format, 26p.).
July 9, 2013
June 25, 2013
CAAR – Kaiser Family Foundation Issue Brief – June 25, 2013
“Transitioning Beneficiaries with Complex Care Needs to Medicaid Managed Care: Insights from California,” (June 2013, .pdf format, 15p.).
June 21, 2013
CAAR – National Bureau of Economic Research Working Papers – June 21, 2013
A. “Medicaid Insurance in Old Age,” by Mariacristina De Nardi, Eric French, and John Bailey Jones (w19151, June 2013, .pdf format, 50p.).
Abstract:
The old age provisions of the Medicaid program were designed to insure poor retirees against medical expenses. However, it is the rich who are most likely to live long and face expensive medical conditions when very old. We estimate a rich structural model of savings and endogenous medical spending with heterogeneous agents, and use it to compute the distribution of lifetime Medicaid transfers and Medicaid valuations across single retirees.
We find that retirees with high lifetime incomes can end up on Medicaid, and often value Medicaid’s insurance features the most, as they face a larger risk of catastrophic medical needs at old ages, and face the greatest consumption risk. Finally, our compensating differential calculations indicate that retirees value Medicaid insurance at more than its actuarial cost, but that most would value expansions of the current Medicaid program at less than cost.
B. “Donative Behavior at the End of Life,” by Jonathan Meer and Harvey S. Rosen (w19145, June 2013, .pdf format, 20p.).
Abstract:
A general finding in the empirical literature on charitable giving is that among older individuals, both the probability of giving and the conditional amount of donations decrease with age, ceteris paribus. In this paper, we use data on giving by alumni at an anonymous university to investigate end-of-life giving patterns. Our main finding is that taking into account the approach of death substantially changes the age-giving profile for the elderly-in one segment of the age distribution, the independent effect of an increase in age on giving actually changes from negative to positive.
We examine how the decline in giving as death approaches varies with the length of time that a given condition is likely to bring about death, and the individual’s age when he died. We find that for individuals who died from conditions that bring about death fairly quickly, there is little decline in giving as death approaches compared to those who died from other causes. Further, the decline in giving as death approaches is steeper for the elderly (for whom death is less likely to be a surprise) than for the relatively young. These findings suggest that our primary result, that failing to take into account the approach of death leads to biased inferences with respect to the age-giving profile, is not merely an artifact of some kind of nonlinearity in the relationship between age and giving.
C. “Informal Care and Caregiver’s Health,” by Young Kyung Do, Edward C. Norton, Sally Stearns, and Courtney H. Van Houtven (w19142, June 2013, .pdf format, 30p.).
Abstract:
This study aims to measure the causal effect of informal caregiving on the health and health care use of women who are caregivers, using instrumental variables. We use data from South Korea, where daughters and daughters-in-law are the prevalent source of caregivers for frail elderly parents and parents-in-law. A key insight of our instrumental variable approach is that having a parent-in-law with functional limitations increases the probability of providing informal care to that parent-in-law, but a parent-in-law’s functional limitation does not directly affect the daughter-in-law’s health. We compare results for the daughter-in-law and daughter samples to check the assumption of the excludability of the instruments for the daughter sample. Our results show that providing informal care has significant adverse effects along multiple dimensions of health for daughter-in-law and daughter caregivers in South Korea.
D. “Propagation and Smoothing of Shocks in Alternative Social Security Systems,” by Alan Auerbach, Lorenz Kueng, and Ronald Lee (w19137, June 2013, .pdf format, 41p.).
Abstract:
Even with well-developed capital markets, there is no private market mechanism for trading between current and future generations, so a potential role for public old-age pension systems is to spread economic and demographic shocks among different generations. This paper evaluates the smoothing and propagation of shocks of three pay-as-you-go public pension schemes, based on the actual U.S. and German systems, which vary in the extent to which they rely on tax adjustments versus benefit adjustments to provide annual cash-flow budget balance. Modifying the Auerbach-Kotlikoff (1987) dynamic general-equilibrium overlapping generations model to incorporate realistic patterns of fertility and mortality and shocks to productivity, fertility and mortality, we evaluate the effectiveness of the three public pension systems at spreading the effects of such shocks. We find that the systems, particularly those that rely to some extent on tax adjustments, are effective at spreading fertility and mortality shocks, but that this is not the case for productivity shocks, for which the pension systems actually tend to concentrate the economic impact. These results suggest that both system design and the source of shocks are important factors in determining the potential of public pension arrangements to spread the burden of shocks.
June 7, 2013
CAAR – Urban Institute Report – June 7, 2013
“Doing Better by Doing Less: Approaches to Tackle Overuse of Services,” by Robert A. Berenson and Elizabeth Docteur (June 2013, .pdf format, 15p.).
May 20, 2013
CAAR – AARP Report – May 20, 2013
“Medicaid: A Program of Last Resort for People Who Need Long-Term Services and Supports,” by Donald Redfoot and Wendy Fox-Grage (May 2013, .pdf format, 6p.).
www.aarp.org/health/medicare-insurance/info-05-2013/medicaid-last-resort-AARP-ppi-health.html
May 2, 2013
CAAR – Center for Retirement Research at Boston College Issue Brief – May 2, 2013
“Can Incentives for Long-Term Care Insurance Reduce Medicaid Spending?” by Wei Sun and Anthony Webb (IB No. 13-6, May 2013, .pdf format, 7p.).
crr.bc.edu/briefs/can-incentives-for-long-term-care-insurance-reduce-medicaid-spending/
May 1, 2013
CAAR – US Centers for Medicare and Medicaid Services Medicare Statistical Supplement – May 1, 2013
CMS’ Medicare and Medicaid Statistical Supplement has recently been updated (2012 edition, tables available in .zip compressed .pdf and Microsoft Excel format):
- Medicaid (tables 13.1 to 13.27):
April 18, 2013
April 4, 2013
CAAR – AARP Reports – April 4, 2013
A. “Two-Thirds of States Integrating Medicare and Medicaid Services for Dual Eligibles,” by Jenna Walls, Diana Scully, Eunhee (Grace) Cho, John Michael Hall, Wendy Fox-Grage, and Kathleen Ujvari (April 2013, .pdf format, 16p.).
B. “An Uphill Climb: Women Face Greater Obstacles to Retirement Security,” by Mikki Waid (April 2013, .pdf format, 3p.).
March 20, 2013
CAAR – US Senate Committee on Finance Hearing Testimony – March 20, 2013
“Reforming the Delivery System: The Center for Medicare and Medicaid Innovation,” a hearing held March 20, 2013 (witness statements available in .pdf format, full hearing available in Flash format, running time 1 hour 14 minutes).
www.finance.senate.gov/hearings/hearing/?id=f9225683-5056-a032-52f7-0807beda4511
March 19, 2013
March 15, 2013
CAAR – Center for Health Care Strategies Brief – March 15, 2013
“Innovations in Integration: State Approaches to Improving Care for Medicare-Medicaid Enrollees,” by Michelle Herman and Brianna Ensslin (February 2013, .pdf format, 14p.).
www.chcs.org/publications3960/publications_show.htm?doc_id=1261484#.UUISZcVupqw
March 7, 2013
CAAR – US Department of Health and Human Services, Office of Inspector General Report – March 7, 2013
“Co-Located Long-Term Care Hospitals Remain Unidentified, Resulting in Potential Overpayments,” (OEI-04-12-00491, March 2013, .pdf format, 5p.).
CAAR – Center for Retirement Research at Boston College Working Papers – March 7, 2013
A. “Can Long-Term Care Insurance Partnership Programs Increase Coverage and Reduce Medicaid Costs?” by Wei Sun and Anthony Webb (WP No. 2013-8, March 2013, .pdf format, 21p.). Note: Links to the abstract and full-text can be found at:
B. “SSI for Disabled Immigrants: Why Do Ethnic Networks Matter?” by Delia Furtado and Nikolaos Theodoropoulos (WP No. 2013-7, March 2013, .pdf format, 9p.). Note: Links to the abstract and full-text can be found at:
crr.bc.edu/working-papers/ssi-for-disabled-immigrants-why-do-ethnic-networks-matter/
February 12, 2013
CAAR – AARP Public Policy Institute Report, Brief – February 12, 2013
A. “After the Supreme Court Decision: The Implications of Expanding Medicaid for Uninsured Low-Income Midlife Adults,” by Lynda Flowers (February 2013, .pdf format, 9p.).
B. “The Employment Situation, January 2013,” by Sara E. Rix (February 2013, .pdf format, 7p.).
January 23, 2013
CAAR – Commonwealth Fund Report – January 23, 2013
“The Visiting Nurse Service of New York’s Choice Health Plans: Continuous Care Management for Dually Eligible Medicare and Medicaid Beneficiaries,” by Marian Bihrle Johnson and Douglas McCarthy (January 2013, .pdf format, 16p.).
www.commonwealthfund.org/Publications/Case-Studies/2013/Jan/VNSNYs-Choice-Program.aspx
January 16, 2013
CAAR – Center for Health Care Strategies Brief – January 16, 2013
“Quality Measurement in Integrated Care for Medicare-Medicaid Enrollees,” by Alice Lind (January 2013, .pdf format, 26p.).
www.chcs.org/publications3960/publications_show.htm?doc_id=1261473
January 15, 2013
CAAR – Texas Public Policy Foundation/American Enterprise Institute Report – January 15, 2013
“Assuring a future for long-term care services and supports in Texas,” by James C. Capretta, Andrew Croshaw, Michael Deily, and Laura Summers (December 2012, .pdf and HTML format, 31p.).
December 19, 2012
December 18, 2012
CAAR – Pew Social and Demographic Trends Report – December 18, 2012
“A Bipartisan Nation of Beneficiaries,” by Rich Morin, Paul Taylor and Eileen Patten (December 2012, .pdf and HTML format, 16p.).
www.pewsocialtrends.org/2012/12/18/a-bipartisan-nation-of-beneficiaries/
December 17, 2012
CAAR – US Government Accountability Office Report – December 17, 2012
“CMS Innovation Center: Early Implementation Efforts Suggest Need for Additional Actions to Help Ensure Coordination with Other CMS Offices,” (GAO-13-12, November 2012, .pdf format, 51p.).
December 13, 2012
CAAR – US Senate Committee on Finance Hearing Testimony – December 13, 2012
“Improving Care for Dually-Eligible Beneficiaries: A Progress Update,” a hearing held December 13, 2012 (witness statements available in .pdf format, full hearing can be viewed in Flash Player format, running time 1 hour 49 minutes). Note: The video starts at the 42 minute mark.
www.finance.senate.gov/hearings/hearing/?id=44840579-5056-a032-52c9-034b7663dc1e
December 6, 2012
CAAR – Federal Reserve Bank of Chicago (Illinois) Working Paper – December 6, 2012
“Medicaid Insurance in Old Age,” by Mariacristina De Nardi, Eric French, and John Bailey Jones (Working Paper No. 2012-13, December 2012, .pdf format, 43p.). Note: Links to the abstract and full-text can be found at:
chicagofed.org/webpages/publications/working_papers/2012/wp_13.cfm
December 5, 2012
CAAR – US Government Accountability Office Report – December 5, 2012
“Medicare and Medicaid: Consumer Protection Requirements Affecting Dual-Eligible Beneficiaries Vary across Programs, Payment Systems, and States,” (GAO-13-100, December 2012, .pdf format, 74p.).
December 3, 2012
CAAR – Kaiser Family Foundation Reports – December 3, 2012
A. “Medicare Advantage 2013 Spotlight: Plan Availability and Premiums,” by Marsha Gold, Gretchen Jacobson, Anthony Damico, and Tricia Neuma (December 2012, .pdf format, 17p.).
B. “Medicaid Home and Community-Based Service Programs: 2009 Data Update,” (December 2012, .pdf format, 44p.).
October 30, 2012
CAAR – Kaiser Family Foundation Report – October 30, 2012
“Best Bets for Reducing Medicare Costs for Dual Eligible Beneficiaries: Assessing the Evidence,” by Randall Brown and David R. Mann (October 2012, .pdf format, 24p.).
October 12, 2012
CAAR – Kaiser Family Foundation Reports, Issue Brief – October 12, 2012
A. “Explaining the State Integrated Care and Financial Alignment Demonstrations for Dual Eligible Beneficiaries,” (October 2012, .pdf format, 5p.).
B. “State Demonstrations to Integrate Care and Align Financing for Dual Eligible Beneficiaries: A Review of the 26 Proposals Submitted to CMS,” by Mary Beth Musumeci (October 2012, .pdf format, 46p.).
C. “Massachusetts’ Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries” (October 2012, .pdf format, 17p.).
September 20, 2012
CAAR – US Social Security Administration, Office of Retirement and Disability Policy Research Note – September 20, 2012
“Profile of Social Security Disabled Workers and Dependents Who Have a Connection to Workers’ Compensation or Public Disability Benefits,” by Rene Parent, Incigul Sayman, and Kevin Kulzer (Research and Statistics Note No. 2012-03, September 2012, .pdf and HTML format, 35p.).
September 13, 2012
CAAR – New England Journal of Medicine Article Abstract – September 13, 2012
“Mortality and Access to Care among Adults after State Medicaid Expansions,” by Benjamin D. Sommers, Katherine Baicker, and Arnold M. Epstein (Vol. 367, No. 11, September 13, 2012, p. 1025-1034).
www.nejm.org/doi/full/10.1056/NEJMsa1202099?query=TOC#t=abstract
August 28, 2012
CAAR – US Government Accountability Office Report – August 28, 2012
“Medicaid Long-Term Care: Information Obtained by States about Applicants’ Assets Varies and May Be Insufficient,” (GAO-12-749, August 2012, .pdf format, 104p.).
August 6, 2012
CAAR – AARP Report – August 6, 2012
“Keeping Watch: Building State Capacity to Oversee Medicaid Managed Long-Term Services and Supports,” by Debra Lipson, Jenna Libersky, Rachel Machta, Lynda Flowers and Wendy Fox-Grage (July 2012, .pdf format, 58p.).
August 1, 2012
CAAR – US Centers for Medicare and Medicaid Services Articles – August 1, 2012
A. “Cancer Outcomes in Low-Income Elders: Is There An Advantage to Being on Medicaid?” by Siran M. Koroukian, Paul M. Bakaki, Cynthia Owusu, Craig C. Earle, and Gregory S. Cooper (Medicare and Medicaid Research Review, Vol. 2, No. 2, 2012 Q2, .pdf format, 22p.).
B. “Linkages Between Utilization of Prostate Surgical Pathology Services and Physician Self-Referral,” by Jean M. Mitchell (Medicare and Medicaid Research Review, Vol. 2, No. 3, 2012 Q3, .pdf format, 18p.).
June 22, 2012
CAAR – US Department of Health and Human Services, Office of Inspector General Report – June 22, 2012
“Oversight of Quality of Care in Medicaid Home and Community Based Services Waiver Programs,” (OEI-02-08-00170, June 2012, .pdf format, 20p.).
May 2, 2012
CAAR – Center for Health Care Strategies Brief – May 2, 2012
“Medicaid Rate-Setting Strategies to Promote Home- and Community-Based Services,” by Suzanne Gore and Julie Klebonis (May 2012, .pdf format, 5p.).
www.chcs.org/publications3960/publications_show.htm?doc_id=1261365