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Medicaid Long-Term Services and Supports: Key Changes in the Health Reform Law

This issue brief examines new opportunities under the health reform law for states to balance their Medicaid long-term care delivery systems by expanding access to Medicaid home and community-based services (HCBS) programs. The brief outlines key provisions of the new law that expand HCBS benefit options, broaden financial and functional…

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Profiles of Medicaid’s High Cost Populations

This paper examines the role that Medicaid plays in addressing six populations (preterm birth babies, foster care children, individuals with spinal cord and traumatic brain injuries, individuals with mental illness, individuals with intellectual and developmental disabilities, and people with Alzheimer's disease) with serious health needs resulting in high costs. For…

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Learning From History: Deinstitutionalization of People with Mental Illness As Precursor to Long-Term Care Reform

This report examines what policy lessons can be learned from the deinstitutionalization of people with mental illnesses and applied to potential long-term care reform for the elderly or those with significant disabilities. The study assesses the reforms that took place under deinstitutionalization, their impact and what mistakes were made. It…

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Medicaid’s Role in Long-Term Care: Q & A

Financing long-term care for the nearly 10 million Americans who need services and support to assist them in life’s daily activities continues to challenge the nation. While Medicaid is the nation’s major source of financing for long-term care services, paying for over 40% of total long-term care, its role is…

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Nursing Home Care Quality:  Twenty Years After the Omnibus Budget Reconciliation Act of 1987

Nursing Home Care Quality: Twenty Years After the Omnibus Budget Reconciliation Act of 1987To mark the 20th anniversary of the passage of landmark federal legislation to improve the quality of nursing home care, the Omnibus Budget Reconciliation Act of 1987 (known as OBRA '87), this report explains the key provisions…

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A Special Series: The Kaiser Family Foundation and ABC/WCVB Local TV News Initiative

The Kaiser Family Foundation is providing two resources on caring for an elderly relative produced by the American Association of Retired Persons (AARP) free of charge. They are being provided as part of a joint project with WCVB-TV in Boston, which aired a special series on this topic on July…

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Key Facts: Women and Medicare

Medicare is a critical source of health insurance coverage for virtually all older women in the U.S. and for many younger women who have permanent disabilities. Today, 22 million women one in five adult women rely on Medicare for basic health insurance protection. In fact, women comprise 57% of the…

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A Challenge for States: Assuring Timely Access to Optimal Long-Term Services and Supports in the Community

The Medicaid program is a major payer for long-term services and supports (LTSS) in the United States, accounting for 40 percent of total spending for long-term services and supports. The federal government has played an active role in sponsoring initiatives to promote a shift to community-based care; and evidence from…

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Case Study: Georgia’s Money Follows the Person Demonstration

This brief reports on a case study of Georgia’s Money Follows the Person (MFP) demonstration program, describing key features of the program and highlighting recent program experiences. The Georgia Department of Community Health (DCH) implemented the program in September 2008. In 2005, before the demonstration began, Georgia’s long-term care expenditures…

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Medicaid and Long-Term Care: Recent Publications Illuminate Key Policy Issues

With recent policy debates about the future of Medicaid, the Foundation’s Kaiser Commission on Medicaid and the Uninsured has created a resource page of recent publications that address key policy issues when examining Medicaid’s role for high cost populations and in long-term care. Of particular interest are a report profiling…

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.