New Reports Explain Medicaid’s Role in Long-Term Care and Track Trends
With short and long-term policy changes to the Medicaid program being discussed, its role in providing long-term care is receiving closer examination.
View the Latest: Long-Term Care
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Examing the Role of Private Long-Term Care Insurance in the Financing of Long-Term Care
Issue BriefAs the long-standing gap between Americans’ need for long-term care services and the public and private funding available to pay for them grows ever wider, this policy brief from the Kaiser Commission on Medicaid and the Uninsured examines the fundamentals of private long-term care insurance.
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The Community Living Assistance Services and Supports (CLASS) Act
Issue BriefThis issue brief provides a brief overview of the Community Living Assistance Services and Supports (CLASS) Act, including a discussion of how the program would be financed and whom it is intended to reach.
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Medicaid Long-Term Services and Supports: Key Changes in the Health Reform Law
Issue BriefThis 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.
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Closing the Long-Term Care Funding Gap: The Challenge of Private Long-Term Care Insurance
Issue BriefThis policy brief from the Kaiser Commission on Medicaid and the Uninsured examines the fundamentals of private long-term care insurance. It describes the results of a study exploring how consumers buy policies, how much policies cost and how they work, and what regulations exist to protect consumers.
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Massachusetts’ Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries
Issue BriefMassachusetts is the first state to finalize a memorandum of understanding (MOU) with the Centers for Medicare and Medicaid Services (CMS) to test CMS's capitated financial alignment model for beneficiaries who are dually eligible for Medicare and Medicaid, with enrollment beginning on April 1, 2013.
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Key Issues in State Implementation of the New and Expanded Home and Community-Based Services Options Available Under the Affordable Care Act
Issue BriefThis brief summarizes the key issues identified and discussed by participants in Kaiser Family Foundation’s Commission on Medicaid and the Uninsured's July 16, 2013 roundtable meeting on state adoption of the new and expanded Affordable Care Act home and community-based services (HCBS) options. While states have made overall progress in rebalancing their long-term care systems in favor of community-based care, state adoption of ACA HCBS options has been relatively slow to date, despite the growing demand for HCBS among beneficiaries and the enhanced federal funding associated with several of these options.
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Nursing Home Reform: Then and Now
VideoTo 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 video examines the history surrounding the law. The video includes a look at the state of nursing home care before the law, an overview of the legislative process that brought about the law, and recent developments in nursing home quality. The video features historical clips and new interviews of key individuals from government, the nursing home industry, and consumer advocates who were instrumental in the historical developments related to nursing home reform.
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Medicaid Long-Term Services and Supports: Key Considerations for Successful Transitions from Fee-For-Service to Capitated Managed Care Programs
Issue BriefAlthough relatively few Medicaid beneficiaries are in capitated managed long-term services and supports (LTSS) programs, significant expansion is anticipated as more than half of states are implementing or proposing new programs that would include a transition from fee-for-service (FFS) to capitated managed care in the LTSS delivery system.
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Testimony: What would strengthen Medicaid Long-Term Services and Supports?
Issue BriefOn August 1, 2013, Diane Rowland, Executive Vice President of the Kaiser Family Foundation and Executive Director of the Foundation's Kaiser Commission on Medicaid and the Uninsured, testified
before the Federal Commission on Long-Term Care about ways in which the Medicaid program could be strengthened to better support low-income individuals with long-term services and supports needs.