“Medicaid Enrollment and Capitation Rates: Evidence from Medicare Part D,” by Laura D. Quinby and Gal Wettstein (IB No. 19-13, August 2019, .pdf and Excel format, 6p.).
crr.bc.edu/briefs/medicaid-enrollment-and-capitation-rates-evidence-from-medicare-part-d/
“Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: OIG’s Top Recommendations,” (July 2019, .pdf format, 65p.).
Links to an abstract are available. For full text availability check your organization’s library. “Private vs. Public Provision of Social Insurance: Evidence from Medicaid,” by Timothy J. Layton, Nicole Maestas, Daniel Prinz, and Boris Vabson (w26042, July 2019, .pdf format, 47p.).
“The New Medicaid Waivers: Coverage Losses for Beneficiaries, Higher Costs for States,” by Lynda Flowers and Jean Accius (June 2019, .pdf format, 28p.).
“Do States Adjust Medicaid Enrollment in Response to Capitation Rates? Evidence from the Medicare Part D Clawback,” by Laura D. Quinby and Gal Wettstein (WP No. 2019-9, June 2019, .pdf format, 32p.). Note: Links to the abstract and the full text of this paper available at:
A. “Types and Costs of Services for Dual Beneficiaries by Medicare Advantage Health Plans: An Environmental Scan,” by Melony E. Sorbero, Susan L. Lovejoy, Ryan Kandrack, Erin Audrey Taylor, and Kathryn E. Bouskill (Research Report No. 2213, 2018, .pdf format, 53p.).
www.rand.org/pubs/research_reports/RR2213.html
B. “Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies,” by Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, Rachel Ross, Alina I. Palimaru, and Amanda Meyer (Research Report No. 2634, 2018, .pdf format, 68p.).
A. “Medicaid Home and Community-Based Services Enrollment and Spending,” by MaryBeth Musumeci, Priya Chidambaram, and Molly O’Malley Watts (April 2019, .pdf and HTML format, 18p.).
www.kff.org/medicaid/issue-brief/medicaid-home-and-community-based-services-enrollment-and-spending/
B. “Key State Policy Choices About Medicaid Home and Community-Based Services,” by MaryBeth Musumeci and Molly O’Malley Watts (April 2019, .pdf and HTML format, 33p.).
A. “Medicare and Medicaid: CMS Should Assess Documentation Necessary to Identify Improper Payments,” (GAO-19-277, March 2019, .pdf format, 60p.).
www.gao.gov/products/GAO-19-277
B. “Retirement Security: Most Households Approaching Retirement Have Low Savings, an Update,” (GAO-19-442R, March 2019, .pdf format, 4p.).
“Prices for and Spending on Specialty Drugs in Medicare Part D and Medicaid: An In-Depth Analysis,” by Anna Anderson-Cook, Jared Maeda, and Lyle Nelson (Working Paper 2019-02, March 2019, .pdf format, 58p.). Note: Links to the abstract and the full text of the paper available at:
A. “Home- and Community-Based Services Beyond Medicaid: How State-Funded Programs Help Low-Income Adults with Care Needs Live at Home,” by Ellen O’Brien and Wendy Fox-Grage (February 2019, .pdf format, 27p.).
longtermscorecard.org/promising-practices/home-and-community-based-services-beyond-medicaid
B. “Defraying High Out-of-Pocket Health Care Costs: The Medical Expense Tax Deduction,” by Maxim Shvedov (February 2019, .pdf format, 5p.).
www.aarp.org/ppi/info-2019/defraying-high-out-of-pocket-health-care-costs.html
“Slow Growth in Medicare and Medicaid Spending per Enrollee Has Implications for Policy Debates,” by John Holahan and Stacey McMorrow (February 2019, .pdf format, 11p.).
“Using Health Homes to Integrate Care for Dually Eligible Individuals: Washington State’s Experiences,” by Nancy Archibald, Kathy Moses, and Lauren Rava (February 2019, .pdf format, 19p.).
“Potential Changes to Medicaid Long-Term Care Spousal Impoverishment Rules: States’ Plans and Implications for Community Integration,” by MaryBeth Musumeci and Molly O’Malley Watts (November 2018, .pdf format, 14p.).
“Taking a Closer Look: Myths about the Medicaid Program and the People It Helps,” by Brendan Flinn and Jean Accius (October 2018, .pdf format, 3p.).
www.aarp.org/ppi/info-2018/myths-about-the-medicaid-program.html
“Medicaid Home- And Community-Based Services: Selected States’ Program Structures and Challenges Providing Services,” (GAO-18-628, August 2018, .pdf format, 33p.).
“Examining Efforts to Prevent Opioid Overutilization and Misuse in Medicare and Medicaid,” a hearing held May 29, 2018 (witness statements available in .pdf format, video of the full hearing available at the site, running time hour minutes).
“Tackling Opioid and Substance Use Disorders in Medicare, Medicaid, and Human Services Programs,” a hearing held April 19, 2018 (witness statements available in .pdf format, video of the full hearing available at the site, running time hour minutes).
“Taking It to the Next Level: Using Innovative Strategies to Expand Options for Self-Direction,” by Merle Edwards-Orr and Kathleen Ujvari (April 2018, .pdf format, 19p.).
“How Might Older Nonelderly Medicaid Adults with Disabilities Be Affected By Work Requirements in Section 1115 Waivers?” by MaryBeth Musumeci, Julia Foutz, and Rachel Garfield (March 2018, .pdf format, 7p.).
A. “How Medicaid Helps Older Americans,” by Steven A. Sass (IB No. 18-5, March 2018, .pdf format, 7p.).
B. “Will the Financial Fragility of Retirees Increase?” by Steven A. Sass (IB No. 18-4, February 2018, .pdf format, 7p.).
“Medicaid Assisted Living Services: Improved Federal Oversight of Beneficiary Health and Welfare is Needed,” (GAO-18-179, January 2018, .pdf format, 52p.).
Links to an abstract are available. For full text availability check your organization’s library.
A. “Targeting with In-kind Transfers: Evidence from Medicaid Home Care,” by Ethan M.J. Lieber and Lee M. Lockwood (w24267, January 2018, .pdf format, 74p.).
B. “Household Time Use Among Older Couples: Evidence and Implications for Labor Supply Parameters,” by Richard Rogerson and Johanna Wallenius (w24263, January 2018, .pdf format, 55p.).
C. “High-Priced Drugs in Medicare Part D: Diagnosis and Potential Prescription,” by Richard G. Frank and Richard J. Zeckhauser (w24240, January 2018, .pdf format, 41p.).
A. “Medicare Part B: Medicare Represented at Least Half of the Market for 22 of the 84 Most Expensive Drugs in 2015,” (GAO-18-83, December 2017, .pdf format, 37p.).
www.gao.gov/products/GAO-18-83
B. “Medicaid: CMS Should Take Additional Steps to Improve Assessments of Individuals’ Needs for Home- and Community-Based Services,” (GAO-18-103, December 2017, .pdf format, 44p.).
“Beneficiaries Dually Eligible for Medicare and Medicaid: Data Book,” (January 2018, .pdf format, 74p.).
www.medpac.gov/docs/default-source/data-book/jan18_medpac_macpac_dualsdatabook_sec.pdf
“Medicaid Fraud Control Units: Investigation and Prosecution of Fraud and Beneficiary Abuse in Medicaid Personal Care Services,” (OEI-12-16-00500, December 2017, .pdf format, 11p.).
“Medicare and Medicaid: CMS Needs to Fully Align Its Antifraud Efforts with the Fraud Risk Framework,” (GAO-18-88, December 2017, .pdf format, 63p.).
“Design Considerations for Nursing Facility Quality Improvement Initiatives in Medicaid Managed Long-Term Services and Supports Programs,” by Ann Mary Philip and Stephanie Gibbs (August 2017, .pdf format, 7p.).
“CMS’s Policies and Procedures Were Generally Effective in Ensuring That Capitation Payments Were Not Made After Beneficiaries’ Dates of Death,” (A-07-16-05087, October 2017, .pdf format, 11p.).
“Medicaid Managed Care: CMS Should Improve Oversight of Access and Quality in States’ Long-Term Services and Supports Programs,” (GAO-17-632, August 2017, .pdf format, 44p.).
“Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2015,” by Charlene Harrington, Helen Carrillo, and Rachel Garfield (July 2017, .pdf and HTML format, 42p.).
“Major Threat: How the Better Care Reconciliation Act Jeopardizes Medicaid Home- and Community-Based Services,” by Susan Reinhard, Jean Accius, Brendan Flinn, and Ari Houser (July 2017, .pdf format, 6p.).
“Medicaid Managed Long-Term Services and Supports Programs: State Update,” (June 2017, .pdf format, 2p.).
www.chcs.org/resource/medicaid-managed-long-term-services-supports-programs-state-update/
“Medicaid and Federal Funding Caps: Implications for Access to Health Care and Long-Term Services and Supports among Vulnerable Americans,” by Benjamin W. Veghte and Alexandra L. Bradley (Issue Brief No. 13, June 2017, .pdf format, 15p.).
www.nasi.org/research/2017/medicaid-federal-funding-caps-implications-access-health
A. “Spotlight on the Impact of the American Health Care Act on Total Medicaid Spending in Eight States,” by Brendan Flinn and Ari Houser (June 2017, .pdf format).
www.aarp.org/ppi/info-2017/impact-of-ahca-on-total-medicaid-spending-in-select-states.html
B. “Health Care Bill Harms People with Job-Based Coverage,” by Lina Walker and Jane Sung (June 2017, .pdf format).
“Targeting with In-kind Transfers: Evidence from Medicaid Home Care,” by Ethan Lieber and Lee Lockwood (WP 2017-359, January 2017, .pdf format, 65p.). Note: Links to the abstract and the full text of the paper available at:
“Estimated Financial Effect of the “American Health Care Act of 2017″,” by Paul Spitalnic (June 2017, .pdf format, 30p.).
“Capped Financing for Medicaid Does Not Account for the Growing Aging Population,” by Brendan Flinn and Ari Houser (June 2017, .pdf and HTML format, 4p.).
www.aarp.org/ppi/info-2017/ahca-capped-financing-for-medicaid1.html
“The Adequacy of Income Allowances for Medicaid Home and Community-Based Services,” by Richard W. Johnson and Stephan Lindner (May 2017, .pdf format, 31p.).
“Demonstrating the Value of Medicaid Managed Long-Term Services and Supports Programs,” by Camille Dobson, Stephanie Gibbs, Adam Mosey, and Leah Smith (May 2017, .pdf format, 20p.).
www.chcs.org/resource/demonstrating-value-medicaid-managed-long-term-services-supports-programs/
“Combating Waste, Fraud, and Abuse in Medicaid’s Personal Care Services Program,” a hearing held May 2, 2017 (witness statement available in .pdf format, video of the full hearing available at the site, running time 1 hour 50 minutes). Note: Hearing begins at the 4:09 mark.
“Macroeconomic Effects of Medicare,” by Juan Carlos Conesa, Daniela Costa, Parisa Kamali, Timothy J. Kehoe, Vegard Nygard, Gajendran Raveendranathan, and Akshar Saxena (Staff Report 548, April 2017, .pdf format, 30p.). Note: Note: Links to the abstract and the full text of the paper available at:
www.minneapolisfed.org/research/staff-reports/macroeconomic-effects-of-medicare
“Who receives medicaid in old age? Rules and reality,” by Margherita Borella, Mariacristina De Nardi, and Eric French (W17/04, April 2017, .pdf format, 42p.). Note: Links to the abstract and the full text of the paper available at:
“Low-Income Medicare Beneficiaries Rely on Medicaid for Critical Help,” by Jean Accius, Lynda Flowers, and Brendan Flinn (March 2017, .pdf format, 3p.).
www.aarp.org/ppi/info-2017/low-income-medicare-beneficiaries-rely-on-medicaid-for-critical-help.html
A. “Medicaid: A Last Resort for People Needing Long-Term Services and Supports,” by Wendy Fox-Grage (March 2017, .pdf format, 4p.).
B. “Adequate Premium Tax Credits are Vital to Maintain Access to Affordable Health Coverage for Older Adults,” by Jane Sung, Lina Walker, and Olivia Dean (March 2017, .pdf format, 9p.).
A. “Challenges and Opportunities in Managing Digital Estates,” by Neal Walters (March 2017, .pdf format, 9p.).
www.aarp.org/ppi/info-2017/challenges-and-opportunities-in-managing-digital-estates.html
B. “Impact of Block Grants and Per Capita Caps on Medicaid Enrollees: State Fact Sheets,” by Brendan Flinn (March 2017, .pdf format).
www.aarp.org/ppi/info-2017/impact-of-block-grants-and-per-capita-caps-on-medicaid-enrollees.html
“Medicaid’s Role for Medicare Beneficiaries,” by MaryBeth Musumeci (February 2017, .pdf and HTML format, 7p.).
kff.org/medicaid/issue-brief/medicaids-role-for-medicare-beneficiaries/
A. “Stretching the Medicaid Dollar: Home and Community-Based Services Are a Cost-Effective Approach to Providing Long-Term Services and Supports,” by Jean Accius and Brendan Flinn (February 2017, .pdf format, 6p.).
www.aarp.org/ppi/info-2017/stretching-the-medicaid-dollar.html
B. “Block Grants and Per Capita caps Pose Risks for Medicaid Beneficiaries and for States,” by Lynda Flowers (February 2017, .pdf format, 5p.).
Links to an abstract are available. For full text availability check your organization’s library.
A. “Did Medicaid Expansion Reduce Medical Divorce?” by David Slusky and Donna Ginther (w23139, February 2017, .pdf format, 8p.).
B. “The Effect of Prescription Drug Monitoring Programs on Opioid Utilization in Medicare,” by Thomas C. Buchmueller and Colleen Carey (w23148, February 2017, .pdf format, p.).
A. “Medicaid Section 1115 Managed Long-Term Services and Supports Waivers: A Survey of Enrollment, Spending, and Program Policies,” by Molly O’Malley Watts, MaryBeth Musumeci, and Petry Ubri (January 2017, .pdf format, 23p.).
B. “10 Essential Facts About Medicare’s Financial Outlook,” by Juliette Cubanski and Tricia Neuman (February 2017, .pdf format, 6p.).
kff.org/medicare/issue-brief/10-essential-facts-about-medicares-financial-outlook/
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