Hanging in the Balance: The High Cost of Long-Term Services and Supports

I recently had the opportunity to participate on a panel sponsored by Genworth that turned out to be a truly candid and oftentimes personal discussion on an emerging crisis. The topic: “Solving America’s Long-Term Care Crisis: What We Can Do Now to Fix the $750 Billion Program.” In what way was the panel candid and personal? Much of it had to do with cost. Every day across the United States, millions of families sit at kitchen tables grappling with the …

CMS Report Confirms Medicaid Cuts Would Jeopardize Critical Services and Long-Term Program Stability

The proposed American Health Care Act (AHCA) would make significant changes to the Medicaid program, which serves as a critical safety net for millions of people who deplete their life savings and turn to Medicaid for assistance as their ability to care for themselves declines. The bill would repeal the Medicaid expansion and implement a capped financing model for states. According to the nonpartisan Congressional Budget Office (CBO), the AHCA would cut $834 billion from the Medicaid program through fiscal …

No Wrong Door: Promising Practices for Accessing Long-Term Services and Supports

Most of us will need long-term services and supports (LTSS), either for ourselves or for our family members. However, most of us do not know about our options and how to pay for these services. That is why the LTSS State Scorecard — created by the AARP Public Policy Institute and funded by the Scan Foundation and the Commonwealth Fund — ranks states on their aging and disability resource centers. These centers are an important feature of a high-performing LTSS …

The Fierce Urgency of Now: How $880 Billion in Cuts to Medicaid Could Hurt Us All

If you have protection against future catastrophic out-of-pocket costs for basic life functions, consider yourself lucky. The vast majority of people in the United States don’t. Yet the reality is that there’s a 52 percent chance that someone turning 65 today might develop a severe disability requiring long-term services and supports (LTSS)—that is, help with such functions as eating, bathing, dressing and toileting. For more extensive care, the cost can surpass $250,000 for those over the age of 65 — …

Preserving Access to Home- and Community-Based Services Through Community First Choice

An important AARP study shows that an overwhelming majority of people would like to remain in their homes and communities for as long as possible. Personal care services, such as assistance with bathing, eating and dressing, are critically important to helping older adults and people with disabilities of all ages live independently and avoid costly nursing facility placements. Medicaid plays a critical role in providing this support. It is the largest public payer of long-term services and supports (LTSS), including …

Nursing Facility Transitions: A Cornerstone for Balancing Long-Term Services and Supports

When Abbie was first admitted to a nursing facility in Henderson, Nev., in December 2012, she was told she would probably be there for the rest of her life. For Abbie, who was 76 at the time, that was not an option. “That place was not my cup of tea,” she said. “I didn’t belong there.” About 1.5 million Americans currently live in a nursing facility. Like Abbie, whose story was told first by Nevada’s Money Follows the Person (MFP) …