Long Term and Chronic Care

This policy paper was prepared to assist state leaders in creating a viable, affordable, more user friendly alternative to nursing homes for a significant subset of the population who are now residing in or are likely in the future to enter a nursing facility if residential options are not available. To assist in preparing the […]

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  • Publications

    This report highlights What states have been doing to reduce their expenditures on long term care while maintaining access to needed services. In our analysis of the major strategies employed by the states we found that they fell into several categories: (1) Delivery system activities include strategies to reduce or control the number of nursing […]

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  • Publications

    Although the debate over Medicare reform has had significant public exposure, the proposed cuts in Medicaid have received little attention. Yet these cuts could seriously impact the lives of millions of elderly citizens and their families. Medicare has done an admirable job of providing coverage for physician and hospital care, however, it does not provide […]

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    May 10, 2012 | Filed under: Long Term and Chronic Care, Medicaid, Publications
  • Publications

    The rising number of people with Alzheimer’s disease presents significant challenges for family members, caregivers, advocates, public policy makers and service providers. Faced with budgetary pressures and concerns about access to care and continuity of care, states are developing managed care programs for elderly Medicaid beneficiaries, reviewing eligibility policies and fine tuning assessment tools used […]

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  • Publications

    The purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]

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  • Publications

    One of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses ways to improve long-term services and supports. mmw_longterm.pdf 196.5 KB

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  • Publications

    The Rutgers Center for State Health Policy/NASHP Community Living Exchange Collaborative conducted a survey of the 50 states to identify states that operate single entry point (SEP) systems and to identify the characteristics of SEPs. A single entry point is defined as a system that enables consumers to access long term and supportive services through […]

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  • Publications

    This paper explores the components of care coordination and a sample of state initiatives that bridge the health and supportive systems. care_coordination.pdf 341.3 KB  

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  • Publications

    This paper, a product of the National Academy for State Health Policy’s Flood Tide Forum series, is designed to identify innovative strategies to improve care coordination for the chronically ill. It reviews data on the incidence and costs of chronic conditions, summarizes the literature on care coordination, and highlights state programs. care_coordination_forum.pdf 434.6 KB  

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  • Publications

    This brief summarizes one aspect of the state of Washington’s mature and balanced long-term care system – a successful effort to identify and assist nursing home residents to relocate to community settings. CLE_washington_model.pdf 105.7 KB  

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