Financing HCBS

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A Consensus Framework for Long-Term Care Financing Reform

The Long-Term Care Financing Collaborative released a final report detailing the consensus framework for long-term care financing reform. LTCFC offered recommendations for reforms to expand access to long-term services and supports (LTSS) for individuals with all financial backgrounds. The proposed changes include: Clear private and public roles for long-term care financing; a new universal catastrophic long-term care insurance program; and redefining Medicaid LTSS to empower greater autonomy.

Short URL: http://www.advancingstates.org/node/67420

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Initial Recommendations to Improve the Financing of Long-Term Care

The Bipartisan Policy Center (BPC), with funding from the SCAN Foundation, published a report offering recommendations to improve the financing of long-term care. The BPC published another report in April 2014 that examined the challenges in financing and delivery. This report is a follow up of those findings that offers recommendations to improve these issues.

Short URL: http://www.advancingstates.org/node/67412

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Advocacy Starts at Home: Strengthening Supports for Low-Income Older Adults and Family Caregivers

Justice in Aging, with the support of the Albert and Elaine Borchard Center on Law and Aging, released a new paper, Advocacy Starts at Home: Strengthening Low-Income Older Adults and Caregivers. The paper's structure introduces Margaret and her story of being a family caregiver, discusses the problems as a result of the strain of poverty on low-income family caregivers and then offers solutions to help support older adults and their caregivers.

Short URL: http://www.advancingstates.org/node/67402

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Meeting the Health-Related Social Needs of Low-Income Persons: Funding Sources Available to States

The Robert Wood Johnson Foundation and National Academy for State Health Policy created a resource that explains the funding sources available to states for meeting the health-related social needs of low-income persons. The publication specifically brings attention to funding sources that states can use to help adult high-cost/high-need residents live.

Short URL: http://www.advancingstates.org/node/67279

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Financing Transition Services When Everyone is the "Payer of Last Resort"

The Employment Policy and Measurement Rehabilitation Research and Training Center, with funding from the National Institute on Disability and Rehabilitation Research, published a report on financing transition services. Multiple funding streams, or braiding of resources, are used to fund the services and supports available for transition-age youth seeking employment or higher education. This report examines who the payers of last resort are based on different regulatory and legal requirements.

Short URL: http://www.advancingstates.org/node/67062

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Design Principles for HCBS Case Mix: A Primer

This Primer is a design guide for state policy makers who are considering acuity-based resource allocation. Included in the report is: background information on different HCBS case mix approaches, the steps in the development of a case-mix resource allocation system, essential decision points to consider during the state policy development process, and best practice recommendations. This Primer is recommended as a tool for policy makers, state staff, and stakeholders.

Short URL: http://www.advancingstates.org/node/66968

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2015 Annual Report of the Board of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds

The Medicare Board of Trustees released their annual report to Congress on the financial operations and actuarial status of Medicare on July 22, 2015. The report included a projection indicating that the trust fund will remain solvent until 2030, which is 13 years longer than the 2009 prediction. Medicare covered 53.8 million people last year and the report provides a break down of the expenditures of each individual part of Medicare and its overall cost.

Short URL: http://www.advancingstates.org/node/66714

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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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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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Home and Community-Based Services: Creating Systems for Success at Home, at Work and in the Community

This report offers recommendations for federal and state entities from a thorough review of the legal and regulatory home and community-based services (HCBS) framework outlined by the Americans with Disabilities Act and new HCBS regulations. The bearing of setting size and configuration on the quality of supports and services received by people with intellectual and developmental disabilities and individuals with mental health disabilities in home and community-based arrangements is the focus.

Short URL: http://www.advancingstates.org/node/66314

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