Report: Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill

July 25, 2019 Older adults with complex care needs often require non-medical services and supports to complete many daily activities—things like transportation to adult day care centers, retrofitting a home for wheelchair use, and support for caregivers, among others. In January 2020, these benefits can be covered by Medicare Advantage plans to help meet individual needs and save chronically ill … Read More

Report: Housing and Healthcare Integration for Low-Income Seniors

July 18, 2019 Senior housing, by virtue of its above-average concentration of seniors with complex care needs and high medical costs, provides an opportunity for targeting intensive care management and service coordination to support individuals in their homes, defer institutionalization, and reduce unnecessary and expensive medical care. Across the country, a variety of initiatives have searched for sustainable models of … Read More

Report: SCO Integration and Medical Utilization

June 25, 2019 LTQA conducted a study of the Senior Care Options (SCO) program in Massachusetts, one of the earliest CMS Demonstrations integrating Medicare and Medicaid coverage for residents age 65 and older who have dual eligibility for both programs. The study includes an overview of the SCO program and case studies of three of the six SCO plans that … Read More