The national Money Follows the Person (MFP) rebalancing demonstration continues to grow; the 11,661 MFP transitions during calendar year 2015 marked the largest annual number transitioned since the inception of the demonstration and represented 97 percent of the number grantees targeted for the year. Cumulative MFP enrollment increased to 63,337 transitions by the end of December 2015, a 23-percentage-point increase over the total number at the same point in 2014. The national evaluation has continued to assess demonstration outcomes, but for the first time has estimated cost savings associated with the demonstration. Estimates indicate that the transitions through the end of 2013 (the sixth year of MFP transitions) generated health care cost savings in the range of $204 to $978 million depending on the number of transitions that can be attributed to the MFP demonstration. In addition, consistently throughout the demonstration, MFP participants have reported significant improvement in the quality of their lives while state grantees have benefited from the flexibility afforded by the grant funding to develop transition programs, expand community-based LTSS offerings, design new services, and remove programmatic barriers to transition. This report is the seventh in a series of annual reports that Mathematica Policy Research is producing for the national evaluation of the MFP demonstration funded by the Centers for Medicare & Medicaid Services (CMS) (CMS Contract Number HHSM-500-2010-00026I/HHSM-500-T0010). It provides basic information about the program, how it grew and changed since transitions began in 2007. It also presents estimates of program outcomes and provides the underlying information needed for a report to congress.
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