Health Care Reform Working Group

TABLE OF WEBSITES

TITLE / WEB SITE ADDRESS / DESCRIPTION
Request for Information for NY ANSWERS / http://www.health.state.ny.us/nysdoh/medicaid/health_care_reform/rfi.htm / NYS request for information about how best to design, implement and manage a point of entry (POE) to NYS Long-Term Care System
Summary of Responses for POE requests / http://www.health.state.ny.us/health_care/medicaid/related/ health_care_reform/poe.htm / Gives summary of responses of people to what should be implemented for the different aspects of NY ANSWERS
Recommendations for New York's Long Term Care System: A Report to the Senate Medicaid Reform Task Force / http://www.hcanys.org/node/18 / Outlines proposals for home care to serve both acute care and long-term care systems
HCA report concerning proposed health plan / http://www.hcanys.org/node/16
(released Jan. 2004) / Gives overview of the proposed health plan by the Govn’r. and outlines the points he wished to address with new plan
Healthcare Education Project, put out by Continuing Care Leadership Coalition, affiliated with Greater New York Hospital Association / http://www.gnyha.org/pubinfo/medicaid/SEIU_GNYHA_Long_Term_Care.pdf / paper presents to the Task Force some background research conducted on New York’s Medicaid program and its importance to the continuing care system in New York State; also provides a number of recommendations to reform the Medicaid
program
New York State Office for the Aging / http://aging.state.ny.us/explore/health-ltc/work_group.htm
entire report available in PDF at:
http://aging.state.ny.us/explore/health-ltc/report-2004-01-13.pdf / Link is for table of contents for the Health Care Reform Working Group’s Interim report from January of 2004. Provides links for following topics: executive summary, reforming NY’s long term care system, local burden of Medicaid costs, prescription drug costs, Supplemental security Insurance and Managed care, Federal Medicaid Assistance Percentage, Senate Medicaid Task Force Report, Conclusion, and Addendum
Long term care for the elderly, profiles of 13 states / http://www.urban.org/urlprint.cfm?ID=5976 / Focuses on long-term care for the elderly in the states that received intensive examination in the Assessing the New Federalism study. Summarizes the efforts within the states to control the rate of increase in Medicaid long-term care expenditures for the elderly. States are: AL, CA, CO, FL, MA, MI, MN, MS, NJ, NY, TX, WA, WI
Project Proposal: Controlling Medicaid Long-term Costs / http://www.flinthills.org / Submitted to KS State Legislature by the Center for Long-term Care financing as a proposal for a step-by-step plan to reduce Medicaid nursing home expenditures while assuring universal access to long-term care
World Health Report 2003 / http://www.who.int/whr/2003/en/ / This year's report examines the global health situation and some of the major threats to health in today's world. Drawing on many examples, the report suggests that major improvements in health for everybody are within reach, and that progress depends on collaboration among governments, international institutions, the private sector and civil society to build stronger health systems.
World Health Report 2000 / http://www.who.int/whr/previous/en/ / This report examines and compares aspects of health systems around the world. It provides conceptual insights into the complex factors that explain how health systems perform, and offers practical advice on how to assess performance and achieve improvements with available resources.
National Conference of State Legislatures, / http://www.ncsl.org/programs/health/Forum/LTC/OVERVIEW.HTM / The Task Force Report: Long-Term Care Reform in the States. Provides overview of task forces that have/are dealing with LTC in a variety of states. Lists task forces for 19 different states. Also discusses what goals the task forces should attempt to work towards.
New York State 2005-06 Executive Budget, discussion of health care costs / http://publications.budget.state.ny.us/fy0506littlebook/health.html / Discusses budget concerns regarding health care costs and what can be done to attempt to rectify the problems.
Medicare Prescription Drug, Improvement and Modernization Act of 2003 (415 pages) / http://www.cms.hhs.gov/medicarereform/MMAactFullText.pdf / Amends title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program, to amend the Internal Revenue Code of 1986 to allow a deduction to individuals for amounts contributed to health savings security accounts
and health savings accounts, to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements, and for
other purposes.
Healthcare Cost & Utilization Project (HCUP) / http://www.ahrq.gov/data/hcup/ / HCUP is a family of health care databases and related software tools and products developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ). HCUP databases bring together the data collection efforts of State data organizations, hospital associations, private data organizations, and the Federal government to create a national information resource of patient-level health care data. HCUP includes the largest collection of longitudinal hospital care data in the United States, with all-payer, encounter-level information beginning in 1988. These databases enable research on a broad range of health policy issues, including cost and quality of health services, medical practice patterns, access to health care programs, and outcomes of treatments at the national, State, and local market levels.
Rebalancing Long-Term Care in New Jersey:
From Institutional toward Home and Community Care / http://www.milbank.org/reports/030314newjersey/030314newjersey / This report describes efforts in one state to reduce reliance on nursing homes for care that seniors could receive, and that most would prefer to receive, in their own homes or in homelike settings. The authors assess the experience of "rebalancing long-term care" in New Jersey since 1996, when that state consolidated all services for seniors in one department.
Link to state reports for how to reduce cost for long term care funding . . .Florida and Illinois available online / http://www.centerltc.org/pubs/state.htm / Reports for individual states were undertaken to find ways to reduce excessive demand for Medicaid long-term care benefits. The exact scope of each report varies, depending on each state's individual needs and demographics, though all focus on reducing Medicaid dependency. Only Illinois and Florida available online for free. Addition states of KY, ME, MD, MA, MN, MT, NJ, SD and WI available for purchase or for subscribers to the Center For Long-Term Care Reform (CLTCF)
Louisiana’s Plan for Immediate Action: Providing Long-Term Care Choices for the Elderly and People with Disabilities (draft copy, 22 pages) / http://www.dhh.louisiana.gov/offices/publications/pubs-150/PlanForImmediateAction_121604.pdf / Draft: Outlines the plan for immediate action, gives highlights of the program and policy reviews, gives the plan for immediate action and lists the next steps to be undertaken
Louisiana’s Plan for Immediate Action: Providing Long-Term Care Choices for the Elderly and People with Disabilities (final copy of report, 124 pages) / http://www.dhh.state.la.us/offices/publications/pubs-157/PIA_042005.pdf / Describes the fundamental changes that states have implemented and found effective in controlling the public costs of long-term care while insuring that people receive quality services of the type, and in the settings, that they choose. As such, it represents not promising practice in the delivery of long-term care, but proven best practice, supported by an extensive body of national experience, research, and study.
Final Report to which previous row is merely the draft/overview
Challenges In Improving Care For High-Risk Seniors In Medicare / http://content.healthaffairs.org/cgi/content/full/hlthaff.w5.199/DC1 / examines one large foundation-sponsored initiative (California HealthCare Foundation’s Program for Elders in Managed Care) to gain insight on why success often is so elusive. The findings indicate that specific flaws in concept, design, and implementation each make it more challenging for demonstrations to achieve their intended goals, especially those involving cost and utilization reductions. Based on its evaluation of PEMC, the report highlights five areas to consider for groups setting up chronic care programs: creating realistic outcome goals, matching interventions to problems, understanding implementation fundamentals, establishing a proper role for evaluating the program and taking advantage of opportunities under the new Medicare law
Reform in progress report / http://www.dhh.louisiana.gov/offices/miscdocs/doc-156/RIP%20Report