Mathematica Policy Research

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Older Americans Act Title III-C Nutrition Services Program: An Examination of Social Activities at Congregate Meal Sites and Their Role in Improving Socialization Outcomes of Participants

This brief is based on surveys of local service providers and participants at congregate meal sites. The brief examines whether the effect of congregate meal participation on socialization outcomes differs for participants who attend meal sites that offer social activities and those who attend meal sites that do not offer these activities.

Short URL: http://www.nasuad.org/node/71039

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Evaluation of the Effect of the Older Americans Act Title III-C Nutrition Services Program on Participants’ Health Care Utilization

This report assesses the effectiveness of the Title III-C Nutrition Services Program (NSP) under the Older Americans Act. It describes the health and health care utilization of congregate meal and home-delivered meal participants. The report also examines overall wellness measured using longer-term outcomes related to health and avoidance of institutionalization.

Short URL: http://www.nasuad.org/node/70875

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State Vocational Rehabilitation Agencies’ Early Implementation Experiences with Pre-Employment Transition Services

This report is one of three reports released around the same time from Mathematica Policy Research focusing on how transition services are being used for youth with disabilities. This report examines states' experiences with a new mandate requiring them to provide pre-employment transition services available to all students with disabilities.

Short URL: http://www.nasuad.org/node/70540

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Potential Strategies to Improve the Employment Outcomes of Youth SSI Recipients

This report is one of three reports released around the same time from Mathematica Policy Research focusing on how transition services are being used for youth with disabilities. This report outlines evidence-based strategies to promote sustained, gainful employment for youth with disabilities who are receiving SSI.

Short URL: http://www.nasuad.org/node/70539

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The National Evaluation of the MFP Demonstration: Health Care Expenditures Two Years Post-Transition

This recently released follow-up report was aimed at studying changes in the second year after individuals transitioned out of institutional care into community settings. Participants in the MFP program had higher costs during the first twelve months than non-MFP participants who also transitioned to community-based care. However, this study showed that these costs became comparable after the first year of transition.

Short URL: http://www.nasuad.org/node/70414

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Managed Long-Term Services and Supports: Interim Evaluation Report

As part of Mathematica’s ongoing evaluation project of section 1115 demonstrations, they have released their interim findings on MLTSS programs. This preliminary report looked closely MLTSS programs in New York and Tennessee and found mixed results regarding the goals of reducing hospitalizations and rebalancing care. Mathematica aims to release a final report on the effectiveness of MLTSS in 2019.

Short URL: http://www.nasuad.org/node/70413

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Delivery System Reform Incentive Payments: Interim Evaluation Report

As part of Mathematica’s ongoing evaluation project of section 1115 demonstrations, they have released their interim findings on the DSRIP program. This report shows quantitative evidence of DSRIP motivating positive provider actions, but the program’s impact on outcomes is still unclear. Mathematica aims to release a final report on the effectiveness of DSRIP in 2019.

Short URL: http://www.nasuad.org/node/70412

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The Growth of Managed Long-Term Services and Supports Programs: 2017 Update

CMS recently released a 2017 update to its 2012 MLTSS inventory, compiled by Truven Health Analytics. This study reviewed available information about the status of Medicaid MLTSS programs, and provides updates on the prevalence of MLTSS programs, total enrollment, and specific program design elements as of August 2017. The report surveys the landscape of MLTSS programs across the country, provides detailed summaries of each MLTSS program, and identifies national trends.

Short URL: http://www.nasuad.org/node/70315

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How States Can Monitor Dual Eligible Special Needs Plan Performance: A Guide to Using CMS Data Resources

CMS regularly reports data on health plan enrollment, quality, and compliance that states can use to monitor the performance of the Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) they contract with to serve Medicare-Medicaid enrollees. This technical assistance tool shows how states can use these data to create tables, graphs, and figures and interpret their meaning in order to assess D-SNP performance.

Short URL: http://www.nasuad.org/node/70139

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How States Can Better Understand their Medicare-Medicaid Enrollees: A Guide to Using CMS Data Resources

The CMS Medicare-Medicaid Coordination Office (MMCO) regularly reports data on Medicare-Medicaid enrollee demographics, service utilization, spending, and other characteristics that can give states a more comprehensive view of this population. This tool shows states how to use these data to create tables, graphs, and figures and interpret their meaning for a wider audience of stakeholders.

Short URL: http://www.nasuad.org/node/70138

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