Research / Journal abstracts

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Personal Care Services Utilization by Individuals With Developmental Disabilities – Journal Abstract

Examine factors associated with the use of personal care services (PCS) and the amount of authorized hours in California in 2004-2005. Of those Medicaid-eligible individuals with developmental disabilities living at home, 31% received PCS. When this study controlled for client need, gender, and age, those who were Asian/Pacific Islanders, African Americans, Hispanics, and other races had higher odds of receiving PCS than Whites but were authorized between 16 and 39 hours fewer than Whites.

Short URL: http://www.advancingstates.org/node/52622

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Lessons From the Arkansas Cash and Counseling Program: How the Experiences of Diverse Older Consumers and Their Caregivers Address Family Policy Concerns

Review this article addressing family policy questions that are often asked about consumer-directed services. Issues such as quality, suitability, and fraud and abuse are examined. Elder consumers and their caregivers who participated in the Arkansas Cash and Counseling program were interviewed. Analysis of responses demonstrates how this model can address both the needs of consumers with diverse disabilities and policy makers.

Short URL: http://www.advancingstates.org/node/52616

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Innovation in Medicare and Medicaid Will Be Central to Health Reform's Success

Review recommendations offered for maximizing the new Center for Medicare and Medicaid Innovation’s effectiveness in promoting reforms to improve the quality and value of care, while helping achieve health reform’s goals of more efficient, coordinated, and effective services. Suggestions include implementing a variety of payment reform initiatives, including global and bundled payment, and encouraging the implementation of innovative models developed by states and the private-sector.

Short URL: http://www.advancingstates.org/node/52586

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Reforming Long-Term Care in the United States: Findings From a National Survey of Specialists

To inform long-term care reform efforts, a web-based survey of over 1,000 LTC specialists nationwide was conducted. Findings included the need for LTC to be rebalanced toward HCBS settings, though few supported doing so by limiting nursing home bed supply. Although virtually all felt that the federal government was doing a poor job regulating LTC providers, most believed that the approaches used to oversee nursing homes should also be applied to assisted living.

Short URL: http://www.advancingstates.org/node/52553

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An Analysis Of Medicare And Medicaid In Long-Term Care And Suggestions Of Reform – Archived Webinar

An expert explores patterns in services and spending under long-term care programs and examines the rise in HCBS, the existence of waivers from federal and state coverage requirements, and the changing populations who use long-term care services. He concludes with a discussion on the need to reduce the fragmentation and lack of coordination in LTC services by removing the divide between Medicare and Medicaid programs. Listen to the recorded webinar and find Mr. Ng’s published paper.

Short URL: http://www.advancingstates.org/node/52493

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The Classic Measure of Disability in Activities of Daily Living Is Biased ...

Policy makers desire a uniform assessment tool that works well for adults of all ages, but disability assessment can only be as uniform as the underlying measurement is. If ADL or IADL/ADL measures are biased by age, their use with adults of different ages could be misleading. Findings of this study indicate that as demand for community services increases among adults of all ages, an expanded IADL/ADL measure is more useful than ADL.

Short URL: http://www.advancingstates.org/node/52467

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Long-Term Care: Who Gets It, Who Provides It, Who Pays, And How Much?

Many assume that most of the long-term care population is elderly. Not so, according to this study. About half of community-dwelling Americans needing long-term care are younger than sixty five. Research and data collection focusing solely on older adults with long-term care needs misses half of the story. Recommendations of the study include a redistribution in long-term care spending from institutional to non-institutional settings, and from agencies to independent providers.

Short URL: http://www.advancingstates.org/node/52351

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Understanding Factors That Influence Success of Home- and Community-Based Services in Keeping Older Adults in Community Settings

Read this study that found two significant supportive factors for older adults to remain in communities were use of paid instrumental activities of daily living (IADL) personal care services and awareness of unmet needs. Findings suggest the importance of encouraging older adults to acknowledge their unmet needs and to seek community-based support services early, rather than wait until they have developed more serious needs.

Short URL: http://www.advancingstates.org/node/52338

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New State Strategies To Meet Long-Term Care Needs

States’ efforts to expand consumer-directed long-term care service programs, are often hindered by challenges related to costs, staffing and organizational issues, infrastructure requirements, and resistance from stakeholders. Yet states have developed a number of successful strategies for overcoming these challenges. Their experiences offer valuable insights, guidance, and encouragement to other states considering CDS. The abstract (free) and full report (subscription required) are available.

Short URL: http://www.advancingstates.org/node/52302

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