There’s No Place Like Home — But How Do You Define It?

Posted on 02/21/2014 by | AARP Blog Author | Comments

Public Policy InstituteHow would you describe what “home” means to you? When do you feel most engaged in a “community”? If you struggle to answer those questions, imagine a federal agency trying to define what “home” and “community” mean for the purposes of important public benefits. That is essentially the task that the Centers for Medicare & Medicaid Services (CMS) set for itself several years ago as it began the long path to its recently released rule related to home- and community-based …

Home- and Community-Based Services: The Right Place and the Right Time

Posted on 08/19/2013 by | AARP Blog Author | Comments

Public Policy InstituteAs evidenced at a recent hearing of the federal Commission on Long-Term Care, broad support is building: It’s time to end Medicaid’s “institutional bias.” It’s not rational that Medicaid entitles eligible individuals to be placed in nursing homes, while limiting their ability to receive services at home. On average, the Medicaid program can serve about three older people or adults with physical disabilities with home- and community-based services (HCBS) for the cost of putting one in a nursing home. Moreover, …