Long-Term Care

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2015 State of the States in Aging and Disabilities

The results of the annual survey represent a snapshot of the current status of state government employees, the agencies that administer the programs, and the services that are provided. The 2015 survey revealed that states are continuing to address the same underlying challenges discussed in the previous reports.The report also includes summary tables that outline specific information about each individual state agency and LTSS program. Email adiaz@advancingstates.org to request a hard copy version.

Short URL: http://www.advancingstates.org/node/66820

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How MCOs can Improve Outcomes and Reduce Costs of Care for Older Adults and Members with Disabilities

The white paper examines the impact that managed care organizations can have on cost and quality of care for older adults and people with disabilities. The National Council on Disability found that MCOs can lower the costs of services for these populations. However, MCOs must face the challenge of training staff on person-centered planning and competency for the quality of care to genuinely increase. This provides an analysis of the positives and negatives of MCOs and where to move from here.

Short URL: http://www.advancingstates.org/node/66684

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Principles for Improving Financing and Delivery of Long Term Services and Supports and Vision of a Better Future for People Needing Long Term Services and Supports

Convergence Center for Policy Resolution and the Long Term Care Financing Collaborative released two papers regarding the affordability and vision for delivery of long term care in the United States. The papers reflect the idea that the role of families and communities must be recognized when delivering long term services and supports. Additionally, giving elders the ability to finance their own care increases independence and autonomy and allows for support of family members and communities.

Short URL: http://www.advancingstates.org/node/66659

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Care Coordination in Managed Long Term Services and Supports

The AARP Public Policy Institute released a new report conducted by Truven Health Analytics. The two part study examined Medicaid Managed Long Term Services and Supports program contracts in 18 different states for older adults and people with physical disabilities and case studies of new care coordination models in Ohio and Illinois. The findings indicate that states need care coordination and that these care coordinators provide crucial support for consumers and their family caregivers.

Short URL: http://www.advancingstates.org/node/66630

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Oral Health and Primary Care

The U.S. Department of Health and Human Services report and the white paper commissioned by the National Interprofessional Initiative on Oral Health both examine the wide disparities in oral health due to lack of access. The U.S. fails to provide proper access for ongoing and preventative oral health care needs. A push must be made to integrate dental care as a component of primary care. There is also a focus on the impact and burden of oral diseases and their effect on quality of life.

Short URL: http://www.advancingstates.org/node/66577

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Regulatory Review of Adult Day Services

Adult day services (ADS)--a non-residential service provided outside an individual's home for less than a full day--provides direct care to older adults and younger adults with physical disabilities. This report provides information about each state's approach to regulating this key community service. The report details different models, forms of regulation, and funding sources used by states to run ADS programs.

Short URL: http://www.advancingstates.org/node/66494

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Caregiving in the U.S. 2015

This study provides insights into higher-hour caregivers (at least 21 hours of care a week), caregivers ages 75 and older, multicultural caregivers, and the challenges facing caregivers in the workplace. While the “typical” family caregiver is a 49-year-old woman who cares for a relative, caregivers on the whole are becoming much more diverse. The study found nearly a quarter of America’s caregivers are millennials between the ages of 18 and 34 and are equally likely to be male or female.

Short URL: http://www.advancingstates.org/node/66488

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Federal Strategy Needed to Help Ensure Efficient and Effective Delivery of Home and Community-Based Services and Supports

This report addresses: 1) federal programs that fund HCBS and supports for older adults, in particular in-home and nutrition services, affordable housing, and transportation; 2) how HCBS and supports are planned and delivered in selected localities; and 3) agencies’ efforts to promote a coordinated federal system of HCBS for older adults.

Short URL: http://www.advancingstates.org/node/66447

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Medicaid at 50

This report reflects on Medicaid’s accomplishments and challenges and considers the issues on the horizon that will influence the course of this major health coverage and financing program moving forward. The report follows Medicaid’s evolution, including major legislative changes and other inflection points in the program’s history and analyzes how Medicaid threads through our health care system today and the measure of its impact.

Short URL: http://www.advancingstates.org/node/66401

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