Community Living Systems

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.

 

Our Experts