The Long-Term Services and Supports State Scorecard, One Year In: Keep ‘Picking Up the Pace.’

It’s hard to believe a year has passed since the AARP Public Policy Institute (PPI) released its third Long-Term Services and Supports State Scorecard. The interactive tool measures state performance for creating a high-quality system of care and improving services for older adults and people with physical disabilities, as well as their family caregivers. It encompasses everything from the availability of home and community-based services to access to transportation within a community. To understand the breadth and power of the …

New Year’s Resolution: Have Those Hard Conversations about Long-Term Care

The New Year offers us the opportunity to start anew. We make plans to hit the gym, sleep more, and eat healthier. We commit to spending more time with family and friends rather than merely clicking likes and posting comments on Facebook or sending emojis via text. We resolve to save more and stress less.  Many of us even create plans with specific strategies to increase the odds we’ll be successful in reaching our goals. Yet there are those areas of …

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 — …

Capping Medicaid Funding Could Hurt Millions of People With Disabilities and Poor Seniors

Medicaid is the country’s largest public health insurance program, providing access to needed health care and long-term services and supports  (LTSS) to millions of low-income Americans, including more than 17 million children with disabilities, adults with disabilities, and poor seniors. Right now, states and the federal government share the cost of Medicaid in a way that guarantees services to all who are eligible. Under this arrangement, federal funding increases (or decreases) in response to changes in enrollment, service costs and …

Consumer Voices Matter: Meaningful Engagement of Consumers and Caregivers in Long-Term Care

Patient-centered care is responsive to the needs and values of the individuals receiving care, and is one aspect of a high-performing, high-quality health care system. The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule that gives Medicaid managed care consumers and their family caregivers a seat at the table by requiring states to include consumer and family caregiver perspectives in the design, implementation and oversight of state-managed long-term services and supports (LTSS) programs. States should view the new …