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Home and Community-based Services Coordination for Homebound Older Adults in Home-based Primary Care

Gregory J. Norman*, Amy J. Wade, Andrea M. Morris and Jill C. Slaboda Abstract Background: Medically complex vulnerable older adults often face social challenges that affect compliance with their medical care plans, and thus require home and community-based services (HCBS). This study describes how non-medical social needs of homebound older adults are assessed and addressed… Read more »

Achieving Value in Medicaid Home- and Community-Based Care: Considerations for Managed Long-Term Services and Supports Programs

This guide, made possible by the West Health Policy Center, describes considerations for states seeking to adopt VBP models for home- and community-based services in Medicaid managed long-term services and supports (MLTSS) programs. It examines approaches used by five states — Minnesota, New York, Tennessee, Texas, and Virginia — for promoting high-quality MLTSS programs while simultaneously supporting the ability of Medicaid beneficiaries who need LTSS to live in their communities.

Association Between Physical Therapy in the Emergency Department and Emergency Department Revisits for Older Adult Fallers: A Nationally Representative Analysis

We used Medicare claims data to examine differences in recurrent fall‐related ED revisit rates of older adults who presented to the ED for a ground‐level fall and whether they received PT services in the ED. Our logistic regression model controlled for age, sex, Medicaid eligibility, acute injury, and certain known chronic comorbidities associated with risk of falling.

Care for the Older Adult in the Emergency Department

Introduction The convergence of several forces is creating an opportunity to dramatically improve care for older adults in the emergency department (ED), which in turn has the potential to create benefits in the US health care system for everyone. These forces include demographic changes, a shift toward value-based health care, and the emergence of individual… Read more »

Providing Home- and Community-Based Nutrition Services to Low-Income Older Adults: Promising Health Plan Practices

This brief, made possible with support from the West Health Policy Center, highlights promising community-based nutrition practices for older adults used by Medicaid health plans, including: (1) investing in staff with nutrition expertise; (2) using assessment data to target nutrition-related interventions; (3) replicating best practices from other member populations; and (4) leveraging community-based resources.