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) …

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 …

The Skyrocketing of the Age 85+: AARP Data Explorer Provides Long-Term Services and Supports Data for Policy Solutions

From 2010 to 2060, the age 85-plus population will more than triple (+260%), the fastest growth of any age group over that time period. This demographic phenomenon will have a significant impact on every aspect of our society, ranging from our health care system to the economy. People age 85-plus are the group most likely to need long-term services and supports to help them with everyday tasks. They not only have higher rates of disability than younger people, but they …

Gaining New Ground: Solutions for Financing Long-Term Services & Supports

There is little dispute that the cost of long-term services and supports (LTSS) is daunting. The typical cost for care in a nursing home is about $91,250 a year, and the average annual base price for assisted living is $43,200. Few people can accumulate sufficient savings, even over a lifetime, to cover the costs. Most people rely on their families and friends for the bulk of their LTSS needs. Yet, family caregivers cannot do it all, and in the future, …

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 …