Effectively meeting the needs of older Americans and those with chronic disabilities is vital to
successful healthcare reform. As flexible community-based supports replace costly institutional services,
long-term care systems are evolving to give healthcare consumers a broader range of choices.
Our Solutions
Truven Health Analytics provides state and federal payers effective methods to satisfy consumer
preferences, ensure the delivery of high-quality care, control costs, and address demographic changes,
with the long-term care data and analysis they need to identify:
- The optimal care settings and delivery models for providing services to the elderly and people
with disabilities
- Financing for these services
- The elements of service packages
Quality Improvement
The Truven Health Community Living Systems team works with state programs to ensure compliance with
federal requirements, and provides technical assistance to the federal government to help communicate
those requirements.
Our researchers assist state governments in developing strategies for:
- Risk planning
- Incident management
- Provider monitoring
- Sampling
- Information technology
- Quality improvement
Financing
Truven Health researchers apply in-depth knowledge of both Medicaid and non-Medicaid funding
mechanisms to meet healthcare financing objectives such as developing a new long-term care initiative
and determining how to fund existing programs more efficiently.
Data Collection and Analysis
Our analysts apply their extensive experience with claims and other long-term care data to help clients
develop their own data-collection tools, including targeted surveys of service recipients. In addition,
Truven Health produces the widely used Medicaid long-term expenditures reports, which highlight
state-level institutional and community service spending and analyze trends in long-term care and waiver
spending.
Integrated Care Models
Integrated care combining Medicare and Medicaid funding is quickly emerging as the preferred model for
dually eligible individuals. Our Community Living Systems team has expertise in the options available to
states as well as hands-on experience in designing new programs.
State Profiles
Our team develops comprehensive profiles of state long-term care systems. They create detailed accounts
of financing, access, utilization, and gaps in care, in addition to benchmarking results against
comparable states. The information is presented in a customizable format, using a template that Truven
Health developed for the Centers for Medicare and Medicaid Services (CMS).
Home- and Community-Based Waiver Application on the Web
Our programmers and analysts developed this online application to transform a paper-based process into a
more accessible Web-based system. It is now available to all 50 states to apply for, renew, or amend
Medicaid
Section HCBS 1915(c) Waivers. The Waiver Management System (WMS) is also used by states to submit their
Centers for Medicare & Medicaid Services (CMS) 372 waiver utilization report. The 1915(c) WMS
provides
CMS with automated workflow e-mail notifications and on-demand reporting capabilities. It has enabled
CMS to
greatly improve the quality and completeness of the waiver program data while offering increased
efficiency.