Long-term Services and Supports: A Rebalancing Act

The ongoing debate over the federal budget and deficit reduction presents a balancing act for policymakers, as many compelling interests compete for scarce dollars. But for 10 million older adults and people with disabilities who need long-term services and supports, there is a “rebalancing act” in progress. The aim is to serve more people at home and in the community, and fewer people in institutions. Are there sufficient home- and community-based programs in all states to address the aging population and the growing number of adults with disabilities? How can incentives in the Patient Protection and Affordable Care Act encourage new approaches in home- and community-based services? This briefing, sponsored by the Alliance for Health Reform and The Commonwealth Fund, addressed these and related questions.

For more information and access to the presentation slides, please visit the Alliance’s event page.

Full Video



The panel was comoderated by Ed Howard of the Alliance for Health Reform and Mary Jane Koren of the Commonwealth Fund.

Ed Howard

Mary Jane Koren


  • Bob Hornyak, Administration on Aging
  • Cynthia Woodcock, Impaq and formerly Hilltop Institute
  • Carol Raphael, Visiting Nurse Service of New York