All States/Territories

This online resource archives a national signature event. The Conference provides excellent workshops focused on the most promising opportunities and pressing issues, specifically care transition. Review past presentations, general sessions and hot topic videos.

Detailed data on community-based residential services providers indicated a high worker turnover for long-term care costs. The findings indicated that providers were unlikely to reduce turnover on their own, since its associated costs were either tolerably small or borne by others. An analysis indicated that it was socially beneficial for the government to reduce turnover through wage subsidization in this sector.

This letter provides guidance on state flexibility to make changes to their home and community-based services (HCBS) programs while complying with the maintenance of effort (MOE) provision of the Affordable Care Act. Letter recommends that States contact CMS for technical assistance if they are interested in pursuing any changes to their long-term care policies. The accompanying Q&As provide guidance on the MOE provisions in the Patient Protection and Affordable Care Act.

Person-centered outcomes underpin all aspects of desired assisted living practices and care. Service planning and operational process focused on person-centeredness is able to deliver core promises of assisted living that maximize privacy, autonomy, and choice; fostering meaningful life, engagement, quality of care, and meaningful access to the surrounding community.

Adult day services (ADS) centers are a key provider of long-term care services. As well as providing direct service, they benefit family caregivers by enabling them to remain in the workforce or receive needed respite. Data was collected and analyzed from a representative sample of centers, focusing on the characteristics of services, profile of participants, and the range of services offered. The study provides a picture of current adult day services and offers a look to the future.

This report provides data on Medicaid's role in financing long-term care, including serving as the primary payer for an estimated 63.6% of all nursing home residents. Congress recently offered an array of proposals that would significantly cut the Medicaid program. These proposals include converting the program into a block grant with straightforward cuts and global caps on spending. The latest proposal enables the states to significantly reduce Medicaid eligibility and enrollment.

This policy brief examines the program created to provide financial support for home care, adult day care or a nursing home stay, and highlights how policy-makers could make the program sustainable. Options range from changing the premium structure and lengthening the vesting period, to incentivizing employers and more. The Obama administration acknowledges the program’s shortcomings and will ensure the program remains solvent and self-financing for at least 75 years, as the law requires.

The impact of disability is wide ranging, influencing nearly every aspect of affected individuals’ lives, including how they seek and receive health care, how they process information, and what level of independence and community participation they enjoy. Evidence-based care has potential to improve the lives of American adults with disabilities. This brief presents methodological and design issues for researchers to consider.

Adults with disabilities have diverse, complex, and expensive needs for health care services, costing the health care system $398 billion in 2006. This group, which represented 14 percent of the adult population in 2008, will grow larger in the future. This report discusses study designs and outcome measures that can be used to address different comparative research questions. Policymakers, practitioners, and the public need a better understanding of what works for study designs.

A national survey of over 10,000 local governments follows up on a 2005 survey of aging communities across the nation. This report highlights 11 distinct transportation options important to older adults in local communities and underscores the importance of further outreach efforts to involve older adults in the planning process as only 30% of the communities surveyed had the direct involvement of older adults.