The Commonwealth Fund

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The Financial Hardship Faced by Older Americans Needing Long-Term Services and Supports

This study analyzes the financial burden experienced by people who require long-term services and supports. The study analyzes medical and LTSS spending among older Medicare beneficiaries, particularly the costs of assistive devices and personal care. The results show that for medical services covered by Medicare, beneficiaries with a high need for long-term services spend more than $2,700 a year out of pocket on average, twice as high as those without such need.

Short URL: http://www.advancingstates.org/node/71119

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Taking It to the Next Level: Using Innovative Strategies to Expand Options for Self-Direction

This report from AARP's Public Policy Institute is part of a series of papers focusing on innovative strategies. It explores the benefits of self-directed care and looks at best practices used in Texas, Iowa, Wisconsin, and Florida. The report also provides a toolkit for educational and training purposes to help states improve and expand upon their self-directed LTSS programs.

Short URL: http://www.advancingstates.org/node/70341

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How Did State-Run Health Insurance Marketplaces Fare in 2017?

This brief analyzes fifteen structured interviews conducted with leadership staff in states using state-based health insurance marketplaces. It explores the different actions these states may utilize to stabilize the marketplace and reduce consumer confusion in the face of uncertainty regarding federal policies.

Short URL: http://www.advancingstates.org/node/70316

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Using Community Partnerships to Integrate Health and Social Services for High-Need, High-Cost Patients

In order to better address health-related social needs, communities across the country have been experimenting with programs to connect health care providers with community-based organizations (CBOs) that address social needs, such as housing, food insecurity, and assistance with utilities and transportation.This brief from the Commonwealth Fund surveys the landscape of these programs, highlights common challenges, and proposes solutions.

Short URL: http://www.advancingstates.org/node/70089

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Picking Up the Pace of Change, 2017: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers

This report provides a multidimensional look at state performance for the delivery of long-term services and supports (LTSS), based on a uniform set of performance measures and how performance has changed over time. It also includes the role that housing and transportation play in assisting older adults, people with physical disabilities and their family caregivers, as well as promising practices and emerging innovations to foster greater information exchange.

Short URL: http://www.advancingstates.org/node/69541

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No Wrong Door: Person- and Family-Centered Practices in Long-Term Services and Supports

This paper provides concrete examples of how seven No Wrong Door Systems are promoting person- and family-centered practice. This resource includes a toolkit of resources and contacts for states to learn more and replicate these practices. A checklist also provides a roadmap for states to ensure that No Wrong Door Systems operate in a person- and family-centered way.

Short URL: http://www.advancingstates.org/node/69270

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International Survey of Older Adults Finds Shortcomings in Access, Coordination, and Patient-Centered Care

This Health Affairs article presents key findings from The Commonwealth Fund's 2014 International Health Policy Survey. The survey compared the views and experiences of people 65 and older on issues of health and health care use, health care costs and access, care coordination, end-of-life planning, and more. The survey was conducted in 11 countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States.

Short URL: http://www.advancingstates.org/node/66260

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