The Cutler Institute’s Disability and Aging program is a team of multi-disciplinary professionals with extensive experience working in close collaboration with states to provide technical assistance, conduct evaluations, identify best practices, and perform policy analysis work.

Our staff work with federal and state policy makers and their partners to provide the information and analysis they need to improve the effectiveness of health policy and programs.

We focus our work in the following areas:

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2003

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Evaluation of Rink Link Alpha One – Center for Independent Living, Josephine M. LaPlante

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Maine Employer Experience and Perceptions Related to Providing Health Insurance: 2003 Summary Report, Gino Nalli and Elizabeth Kilbreth

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MaineCare Services for Workers with Disabilities Chart Book, Susan M. C. Payne, Larry Glantz, Carolyn E. Gray, Robert G. Keith, and Sara T. Salley

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The Changing Nature of Long-term Care in Maine, Paul Saucier MA and Julie T. Fralich MBA

2002

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Quality Management and Improvement Practices for Home and Community-based Care: Literature Review, Maureen Booth MRP, MA; Julie T. Fralich MBA; and Sue Nonemaker RN, MS

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Applying Managed Fee-for-Service Delivery Models to Improve Care for Dually Eligible Beneficiaries, Stuart Bratesman and Paul Saucier

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Can Mainers Afford to Pay for Long-term Care as the "Baby Boom" Generation Ages?, Julie T. Fralich MBA

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MaineCare Enrollees with Disabilities Work Experience: Results from a 2002 Survey, Sara T. Salley and Larry Glantz

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The MaineCare Option for Workers with Disabilities: A Survey of Past and Present Enrollees, Sara T. Salley JD, MPPM and Larry Glantz MSS, MSLP

2001

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Using System Level Quality Measures to Improve Home and Community-based Services in Maine, Julie T. Fralich MBA and Sue Nonemaker RN, MS

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MaineCare Managed Care Performance Report SFY 2000, Catherine Ormond, Tina Gressani, and Maureen Booth

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Financing and Payment Issues in Rural Long-term Care Integration [Policy Brief], Paul Saucier MA and Julie T. Fralich MBA

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Financing and Payment Issues in Rural Long-term Care Integration [Working Paper], Paul Saucier MA and Julie T. Fralich MBA

1998

Evaluation of the Medical Eligibility Determination (med96) Supplemental Screens for Cognition and Behavior Problems, Elise Bolda PhD, Robert G. Keith PhD, Louise Olsen, and Julie T. Fralich MBA

Evaluation of Consumer/Resident Transfers: A Study of Discharges and Transfers Between Various Long-term Care Settings, Elise Bolda PhD, Robert G. Keith PhD, Mark Richards BS, and Julie T. Fralich MBA

A Study of Alzheimer Special Care Units in Maine Nursing Facilities and Residential Care Facilities: A Comparative Analysis of Resident Characteristics and Results of Surveys to Family Members and Facilities, Julie T. Fralich MBA, P. Dushuttle, Romaine Turyn, and Robert G. Keith PhD

Linked Data Analysis of Dually Eligible Beneficiaries in New England., Paul Saucier MA; Lee Bezanson RN, JD; Maureen Booth MRP, MA; Stuart Bratesman MPP; Julie T. Fralich MBA; Daniel Gilden MS; Elaina K. Goldstein JD, MPA; Darlene O'Connor PhD; Christopher V. Perrone MPP; and Katharine Willrich MS

1997

Assessment Process Evaluation: Medical Eligibility Determination (med94/med96), Elise Bolda PhD, Julie T. Fralich MBA, P. Dushuttle, and Louise Olsen

The Balanced Budget Act of 1997: Implications for Dually Eligible Beneficiaries in Managed Care, Maureen Booth MRP, MA; Julie T. Fralich MBA; and Paul Saucier MA

SeniorReach: Service System Survey of Organizations/Agencies: Baseline Descriptive Summary, Mark Richards BS, Elise Bolda PhD, and Julie T. Fralich MBA

1996

Integration of Acute and Long-term Care for Dually Eligible Beneficiaries Through Managed Care, Maureen Booth MRP, MA; Julie T. Fralich MBA; Paul Saucier MA; and Robert Mollica

Results of the Relaibility Tests: Resident Assessment Instrument for Residential Care Facilities (rai-rcf) in Maine, Julie T. Fralich MBA, Catherine McGuire BS, and J.E. DiMillo

Training Manual for the Minimum Data Set - Resident Care Assessment Tool (MDS-RCA): Adapted for Use in Maine, Julie T. Fralich MBA and Louise Olsen

Medicaid and Long-term Care, E. Goldberg, Julie T. Fralich MBA, and Kathryn Pears

SeniorReach: Year 1 Status Report, Mark Richards BS, Elise Bolda PhD, and Julie T. Fralich MBA

The Maine Alzheimer's Project Evaluation Report Year Three (October 1994-September 1995), Mark Richards BS and Julie T. Fralich MBA

1995

Results of Maine Residential Care Facility Survey, J.E. DiMillo and Julie T. Fralich MBA

Preliminary Report of the Private Pay Preadmission Screening Demonstration, P. Dushuttle, Julie T. Fralich MBA, and Louise Olsen

Training Manual for the RAI for Residential Care Facilities, Resident Assessment and Care Screening: Adapted for Use in Maine, Julie T. Fralich MBA and Louise Olsen

Reducing the Cost of Institutional Care: Downsizing, Diversion, Closing and Conversion of Nursing Homes, Julie T. Fralich MBA; Trish Riley; Robert L. Mollica; Kimberly I. Snow MHSA, BA; Deborah J. Carr; and Susan McDonough

Final Report for Year IV (October 1994 to September 1995): New Ideas for Maine's Transition Services System Change Project, Larry Glantz MSS, MSLP

Transition Ideas: School-to-Work Pathways for All Students, Larry Glantz MSS, MSLP

The Maine Transition Systems Policy Study: Final Report, Robert G. Keith PhD; D. Karraker; Charles Bernacchio EdD, ME.d; and N. Soifer

The Maine Alzheimer's Project Evaluation Units: Interim Evaluation Report, Mark Richards BS and Julie T. Fralich MBA

1994

Analysis of Light Care Nursing Facility Residents and Boarding Home Residents in Maine, Maureen Booth MRP, MA; Julie T. Fralich MBA; and P. Dushuttle

Policy Indicators for Long-term Care Services in Maine, J. E. DiMillo and Julie T. Fralich MBA

Preliminary Findings and Recommendations Concerning Kansas Long-term Care System, Julie T. Fralich MBA, Robert Mollica, James Reinardy, Rosalie A. Kane, Sandra Potthoff, John Nyman, and Anne Leone

Pre-admission Screening and Assessment in State Long-term Care Systems: Results of a Five State Survey, C. Jakubiak and Julie T. Fralich MBA

The Maine Supported Employment Initiative: Final Evaluation Report, Robert G. Keith PhD and D. Karraker

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Insights and Outlooks: Current Trends in Disability Studies, Elaine Makas PhD and Lynn Schlesinger PhD

The Maine Alzheimer's Project: Year Two Evaluation Report, Mark Richards BS, Julie T. Fralich MBA, and Donna Reed

1993

The Maine Alzheimer's Project: Year One Evaluation Report, Julie T. Fralich MBA, Mark Richards BS, and J. Chapman

The Political Economy of Hospital Rate Regulation in Maine, Julie T. Fralich MBA, David F. Wihry, and Ellen Schneiter

1991

Evaluation of a Home Care Coordination Program for Older Hospitalized Adults, Richard H. Fortinsky PhD, P. Dushuttle, Al Leighton BA, and D. Berry

Issue Paper: Design of a Case Mix Payment System: Maine Nursing Home Case Mix Payment and Quality Project, Julie T. Fralich MBA

1990

Issue Paper: Development of a Quality Assurance Monitoring System, M. Abbott; Maureen Booth MRP, MA; and Julie T. Fralich MBA

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National Eldercare System Project: A National Study Comparing Successful Community-based Systems of Care for Older People, Richard H. Fortinsky, David Karraker, Suzanne K. Hart, David Lambert PhD, Paula Hollis, Mary Colombo, and Terrie Wetle PhD

1983

Trends in Nursing Home Expenditures in Maine: Impact of Prospective Reimbursement Analysis of Increases in Nursing Home Expenditures 1974-1982, Julie T. Fralich MBA, S.W. Gleason, and T.P. McDonald

1982

The Policy and Management Information Needs of the Medicaid Program: An Interim Report, Andrew F. Coburn PhD, Julie T. Fralich MBA, and P. Faneuf