Jean Accius

Jean Accius is senior vice president for AARP Thought Leadership and International Affairs. His areas of expertise include aging, caregiving and long-term care policy. Read his full biography.
Pan-American countries gather to discuss varying cultural, political, and economic experiences and challenges of new and existing strategies for long-term care.
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AARP is playing a leading role to help identify the necessary priorities and directions for improving health, productivity, and quality of life for older adults worldwide
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The International Day of Older Persons, October 1, marks the perfect time to celebrate the opportunity and challenges of an aging population
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Section 1115 of the Social Security Act allows the Secretary of Health and Human Services to waive certain Medicaid requirements and approve state proposals for experimental projects in programs. The waivers, intended to promote innovation, are not new. Historically, states have used them to cover new populations or implement delivery system reforms like providing services to people through managed care. But recently waivers have attracted attention—including from the mainstream media— as states have started using them in radically different ways. A prominent example involves states using waivers to obtain federal permission to condition receipt of Medicaid on work and work-alternative requirements. The issue is the subject of ongoing litigation.
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In March, the U.S. District Court for the District of Columbia reaffirmed its prior holding that the federal government cannot approve changes to state Medicaid programs that are not consistent with the central objective of the Medicaid program
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The future is unclear for a major federal demonstration program that was created to expand the range of long-term services and supports (LTSS) options available to individuals
Medicaid benefits many low-income Medicare beneficiaries, children, and people with disabilities, but new policies could cause beneficiaries to lose their coverage if they can't comply with the requirements
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The Long-Term Services and Supports State Scorecard can spark policy change, while providing tools and resources so that states and other stakeholders can deliver a higher level of performance
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A newly implemented work requirement policy for Medicaid in Arkansas is being challenged in court for not promoting providing access to health insurance coverage for low-income individuals
To better equip caregivers to meet these demands, AARP's Home Alone Alliance offers resources and instruction for caregivers
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