Cutler Institute for Health and Social Policy

Disability and Aging

Julie Fralich

Program Director, Disability and Aging
Julie Fralich

Office

431 Wishcamper Center

Contact Information

Phone: (207) 780-4848

Education: Hampshire College, BA, 1974; Boston University, Health Care Management Program, MBA, 1978

 

Areas of Expertise: Payment and quality of long term care services including nursing home and residential care facilities, home and community based services and managed care programs for people dually eligible for Medicaid and Medicare.

Research Interests: Ms. Fralich has worked for over 15 years in the design, development and analysis of health policy options with a particular emphasis on issues related long term care. She has expertise in the design and implementation of nursing home and residential care case mix payment systems, the development of quality indicators for use in home and community-based settings, the development of LTC assessment instruments and the use of assessment information for policy, practice and research. She also has experience in the synthesis, design and analysis of the policy and financing issues associated with programs that serve elders and adults who are dually eligible for Medicaid and Medicare.

Publications

Date Title Typesort descending
2009 Profiling Maine's Long Term Support System [Project Brief] Project Brief
2006 Housing and Service Options for Older Adults in Maine Report
2009 Cross-System Profile of Maine's Long Term Support System: A New View of Maine's Long Term Services and Supports and the People Served Report
2007 Assessment of Maine's Long-Term Care Needs. Baseline Report: Demographics and Use of Long Term Care Services in Maine Report
2005 Discovery Methods for Remediation and Quality Improvement in Home and Community Based Services Report
2005 Home and Community-Based Services: Quality Management Roles and Responsibilities. Discussion Paper Report
2006 Quality Indicators for Home and Community-Based Services in Maine Report
2005 Results of the Maine Experience Survey: Adults with Physical Disabilites Consumer Directed Waiver Report
2006 Reporting: Managing and Using Home and Community-Based Services Data for Quality Improvement Report
2005 Compendium of Quality Indicators: Older Adults, Adults with Physical Disabilities, Adults with Mental Retardation/Autism Living at Home, in the Community or in Long Term Care Facilities Report
2008 Healthy IDEAS for Caregivers of People with Dementia in Maine: Evaluation Report Report
2010 Older Adults and Adults with Disabilities: Population and Service Use Trends in Maine Report
2004 Quality Indicators for Home and Community-based Services Report
2005 Home and Community-Based Services: Quality Management Roles and Responsibilities. Appendices Report
2006 Data Quality and Analysis: Managing and Using Home and Community-Based Services Data for Quality Improvement Report
2007 Use of the 1915 (c) Federal Waiver Application: The Experience of Eight States Report
2006 Performance Measurement: Managing and Using Home and Community-Based Services Data for Quality Improvement Report
2012 Dementia Capable Project: Interviews with Employers who Direct Services of a Person with Dementia Report
2012 Maine Direct Service Workforce Survey Results of 2012: A Chartbook Report
2012 Satisfaction Survey Results and Lessons Learned: Maine's Aging & Disability Resource Center (ADRC) Project Report
2012 "Homelike" Characteristics of Maine's Residential Services: A Survey of Maine's Residential Service Settings (2010). Chartbook. Report
2011 Maine's Community Living Program: Implementation and Outcomes Report
2012 Children and Adults With Long Term Services and Support Needs: MaineCare and Medicare Expenditures and Utilization, State Fiscal Year 2010. Chartbook. Report
2012 Members Dually Eligible for MaineCare and Medicare Benefits: MaineCare and Medicare Expenditures and Utilization, State Fiscal Year 2010. Chartbook. Report
2012 Older Adults and Adults With Disabilities: Population and Service Use Trends in Maine, 2012 Edition. Chartbook. Report
2013 Dementia in Maine: Characteristics, Care, and Cost Across Settings [CHARTBOOK] Report
2013 Providing Long Term Services & Supports to People with Impaired Decision-Making Capacity Report
2007 Caring for People with Alzheimer's Disease or Dementia in Maine [Research & Policy Brief] Research and Policy Brief
2011 Medicaid Managed Care: Background, Issues and Options Research and Policy Brief

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Dementia in Maine

Dementia in Maine

As the oldest state in the nation, Maine faces the impending impact of Alzheimer’s disease on its social systems, community resources, and its health and long term care systems. This report provides a baseline picture of the current use of services by people with and without dementia in Maine. Learn more in Dementia in Maine: Characteristics, Care, and Cost Across Settings.

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Report on Maine's Older Adults

With the aging of Maine’s population and its status as the oldest state in the nation, the use of long term services continues to be a critical public policy issue in the state and nationally. Learn more in Older Adults and Adults With Disabilities: Population and Service Use Trends in Maine, 2012 Edition.

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Long Term Service and Support Needs

Chartbook: Children and Adults with Long Term Service and Support Needs

This report - part of a series on MaineCare members who are dually eligible for MaineCare and Medicare Services - analyzes the characteristics, use, and expenditure patterns of sub-populations of long term service users. Learn more in Children and Adults With Long Term Services and Support Needs: MaineCare and Medicare Expenditures and Utilization, State Fiscal Year 2010.

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