NCI AD 2023-2024

ANTHEM HEALTHKEEPERS PLUS DATA AT A GLANCE

This report includes data from a sample of Medicaid members who receive long term services and supports (LTSS) from Anthem Healthkeepers Plus that completed the National Core Indicators - Aging and Disability (NCI-AD) Adult Consumer Survey in Virginia.

All surveys were completed by phone either with a Cardinal Care Managed Care Medicaid member or with a proxy who knew the person well. Overall state results are provided for certain data points in parentheses and denoted with "VA".

Virginia participates in the NCI-AD Project as part of the state's effort to measure the quality of LTSS and systems performance. For more information about NCI-AD in Virginia, visit our website at: https://nci.partnership.vcu.edu/.

SAMPLE INFORMATION

216 total respondents

Gender

  • 60% Female
  • 40% Male

Age

  • 54 years old (average)

RACE & ETHNICITY

  • 1% Hispanic/Latino
  • Asian 7.1%
  • Black 40.4%
  • White 51.1%

RESIDENCE

Location

  • 79% Metropolitan
  • 8% Micropolitan
  • 7% Small town
  • 6% Rural

Type

  • 83% Family Home/Own Home
  • 7% Other
  • 3% Nursing Facility
  • 3% Group/Adult Foster
  • 2% Senior Living Apartment
  • 1% Assisted Living

MEDICAL BACKGROUND

  • 1% Have a mental health diagnosis
  • 56% Receives Medicare

 


DIAGNOSIS

  • 1% PHYSICAL DISABILITY
  • 5% TBI
  • 5% ALZHEIMER'S /DEMENTIA
  • 15% ID/DD

EMPLOYMENT

  • Overall 26% of respondents want a job (VA: 23%)
  • For respondents aged 18-59: 44% reported they wanted a job (VA: 36%)
  • 50% report that someone has talked with them about job options (VA: 36%)

RESPECT & PRIVACY

  • 93% Services and supports are delivered in a way that is respectful of their culture (VA: 94%)
  • 92% Have enough privacy where they live (if in a group setting) (VA: 63%)
  • 100% Others ask before coming in their home/room (if living in a group setting) (VA: 69%)

CHOICE & CONTROL

  • 83% Can choose/change their services and supports (VA: 87%)
  • 88% Can choose/change the people who provide paid supports (VA: 81%)
  • 78% Can choose/change when/how often they receive services (VA: 82%)
  • 72% of respondents say they feel in control of their life (VA: 74%)

SERVICES & UNMET NEEDS

  • 68% Services meet all their current goals (VA: 59%)
  • 39% Case manager talked to them about services to help with unmet needs (VA: 45%)

STAFF LONGEVITY & TURNOVER

  • 26% Paid staff changes too often (VA: 19%)
  • 23% Case manager changes too often (VA: 24%)

SERVICE COORDINATION

  • 72% Have a backup plan if their paid support staff does not show up (VA: 73%)

HEALTH & HEALTHCARE

  • 76% Have access to mental health services if they want them (VA: 86%)
  • 75% Can get an appointment to see or talk to their primary care doctor when needed (VA: 77%)
  • 53% Talked to health professionals using video conference/telehealth (VA: 51%)
  • 37% Went to the emergency room in the past 12 months (VA: 42%)
  • 18% Had an overnight stay in a hospital or rehab/nursing facility in the past 12 months and was discharged to go home (VA: 23%)

SUPPORT & FOOD ACCESS

  • 82% of respondents say they have enough help with everyday activities (VA: 76%)
  • 14% have to skip meals due to financial worries (VA: 15%)
  • 85% have access to healthy foods when they want them (VA: 85%)

FALLS

  • 16% Have a history of falls (VA: 21%)
  • 42% Have concerns about falling/being unstable (VA: 46%)
  • 67% Have worked with someone to reduce their risk of falling (VA: 71%)

SUPPORT ACCESS TO COMMUNITY

  • 86% of respondents say they can see/talk to family/friends they do not live with when they want (VA: 93%)
  • 69% always have a way to get where they want to go (VA: 72%)
  • 65% can take part in activities with others as much as they want (VA: 69%)
  • 16% often feel lonely (VA: 21%)

ACCESS TO PREVENTIVE HEALTH CARE

  • 77% Had physical exam in past 12 months (VA: 78%)
  • 46% Had a vision exam in past 12 months (VA: 52%)
  • 45% Had a dental visit in the past 12 months (VA: 47%)