Reports & Publications

June 2017
H. Stephen Kaye
A line graph showing the divergence between actual average HCBS spending in 2001-13 with the amounts calculated if AHCA-like caps had been in place.

AN UPDATED VERSION OF THIS REPORT, BASED ON THE SENATE'S DRAFT BETTER CARE RECONCILIATION ACT, IS NOW AVAILABLE.

June 2017
Tamar Heller, Randall Owen, Anne Bowers, and Hailee M. Gibbons
The cover of the journal Research on Aging

Abstract: This study examines health services appraisal (HSA) and unmet health-care needs for adults (age 50 and over) with physical disabilities in Medicaid managed care (MMC) versus Medicaid fee for service (FFS). Surveys from 309 individuals in MMC and 349 in FFS 2 years after MMC implementation included demographics, MMC processes, HSA, and unmet health-care needs.

May 2017
Carrie Graham, Mel Neri, and Edward Bozwell Bueno
The logo of Cal MediConnect

As part of the University of California’s three-year evaluation of the Cal MediConnect (CMC) program, this research brief examines the efforts of CMC health plans to identify and transition members from long-term care institutions to home and community-based settings. Findings describe the progress many CMC plans have made in accelerating transitions out of institutional care, including successful strategies and challenges encountered in the process, as well as the barriers that still remain.

October 2016
Terrence Ng, Charlene Harrington, MaryBeth Musumeci, and Petry Ubri
Figure showing growth in Medicaid HCBS participants, by program, 2003-2013

This report summarizes the key national trends to emerge from the latest (2013) participant and expenditure data for the three main Medicaid HCBS programs: (1) the mandatory home health services state plan benefit, (2) the optional personal care services state plan benefit, and (3) optional § 1915 (c) HCBS waivers. It also briefly discusses the provision of Medicaid HCBS through § 1115 demonstration waivers and highlights findings from a 2015 survey of Medicaid HCBS participant eligibility, enrollment, and provider reimbursement policies, including those related to the U.S.

September 2016
Anne Bowers, Randall Owen, and Tamar Heller
The cover of the journal Disability and Rehabilitation

Purpose: To understand the impact of experience and contacts with care coordinators on Medicaid Managed Care (MMC) enrollees with disabilities. Method: Primary data was collected from a random sample of 6000 out of the 100,000 people with disabilities enrolled in one state’s mandatory MMC program. Surveys were conducted through the mail, telephone, and Internet; 1041 surveys were completed. The sample used for analysis included 442 MMC enrollees who received care coordination.

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