Are We There Yet? Efforts to Balance Long-Term Services and Supports

“Marvin L. Dawkins was a 53-year-old AT&T manager when a blocked blood vessel left him paralyzed. It took 11 years, one lawsuit, repeated tangles over Medicaid rules — and a chance meeting on a church van — before he could extract himself from a nursing home outside Baltimore. Now he lives in an apartment with the assistance of an aide, gets out for a job that he says gives him purpose, socializes with new friends and old ones, and revels …

Measuring Quality in Long-Term Services and Supports: National Core Indicators — Aging and Disabilities

Millions of older people and adults with disabilities receive services in their own homes and communities, but little is known about their quality of care or quality of life. However, an exciting and relatively new assessment called the National Core Indicators — Aging and Disabilities (NCI-AD) is emerging that could begin to fill this data void. The Consumer Experience NCI-AD is a consumer-experience survey that includes a background survey, which gathers data about the consumer from agency records. It also contains …

Thank You, Family Caregivers, for Your Labor of Love

En español | This Labor Day, I want to take a moment to recognize the 40 million Americans who perform a great labor of love every day caring for older parents, spouses and other loved ones.  While they wouldn’t have it any other way, family caregivers often have a big job. Some are on call 24-7 and often they can’t even take a break. “One day my mom became ill and my life changed in a moment, I knew I …

Does your state support services for older Americans, family caregivers?

Family caregivers provide an estimated $450 billion in unpaid care annually, helping their older parents, spouses and others to live independently at home—and out of costly institutional care, often paid for by Medicaid. But now, in a number of states as governors and legislatures negotiate their state’s annual budgets, critical assistance on which family caregivers and their loved ones rely on is at risk. Proposed cuts to home care, adult day services, meals-on-wheels and more have real consequences for families. …

Improving Quality Measurement and e-Health in Medicaid Home- and Community-Based Services: The TEFT Demonstration

Many Americans with personal care needs receive services in their own homes to help them with daily tasks such as bathing, dressing and meal preparation. But the quality of care provided in private homes often is not measured. The medical community is beginning to adopt electronic health records: health information in a digital format that can be shared with providers. Unfortunately, these records may not be helpful to consumers, especially those with long-term care needs, in managing their own care. …

Paying for Home- and Community-Based Services: Lessons From Oregon

Many older adults need services to stay in their homes or in community-based settings. Getting help with shopping, meal preparation, transportation, medication management, bathing, dressing or mobility can extend community living. But Medicare and private health insurance do not pay for these types of services, and Medicaid (which does) is limited to people with low incomes and almost no savings. As a result, most people pay for these services out of their own pockets. The Symposium Even people who can …