State long-term care (LTC) financing and delivery systems and, in particular, Medicaid funded LTC have long been criticized for being “institutionally biased.” Shifting the balance in publicly-funded LTC provision away from institutional care (nursing homes, long-term hospitals, intermediate care facilities for the intellectually disabled) toward greater reliance on home and community-based ser
Long-Term Services & Supports (LTSS)
Reports
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Evaluating PACE: A Review of the Literature - Executive Summary
Arkadipta Ghosh, Cara Orfield and Robert Schmitz Mathematica Policy Research January 2014
Impacts of Waiting Periods for Home and Community-Based Services on Consumers and Medicaid Long-Term Care Costs in Iowa
This report compares the risk of nursing home entry, hospitalization rates, and Medicaid long-term care costs, among people with disabilities who faced widely-varying waiting times (ranging from 3 to 25 months), depending on when they applied for home and community-based services (HCBS) though Iowa Medicaid 1915(c) waivers.
Literature Review
Evaluating PACE: A Review of the Literature
This report reviewed the literature on the effect of the Program of All-Inclusive Care for the Elderly (PACE) on Medicare and Medicaid expenditures, use of nursing home services, and mortality. PACE plans provide coordinated acute and long-term care services to nursing home eligible seniors residing in the community. [77 PDF pages] ASPE SEARCH INFORMATION
How Have Long-Term Services and Supports Providers Fared in the Transition to Medicaid Managed Care? A study of Three States
How Have Long-Term Services and Supports Providers Fared in the Transition to Medicaid Managed Care? A Study of Three States
How Have Long-Term Services and Supports Providers Fared in the Transition to Medicaid Managed Care? A Study of Three States - Executive Summary
Jessica Kasten, Paul Saucier and Brian Burwell Truven Health Analytics
How Have Long-Term Services and Supports Providers Fared in the Transition to Medicaid Managed Care? A study of Three States
State Medicaid programs are increasingly transitioning long-term services and supports (LTSS) and LTSS service users from fee-for-service into managed care. In 2004, eight states had managed long-term services and supports (MLTSS) programs; by 2012 the number had doubled to 16; and by the end of 2014, almost half the states (24) are expected to have MLTSS programs.