Profiles of State Innovation: New Roadmaps for Redesigning Long-Term Care Delivery
Medicaid currently covers more than 40 percent of the nation’s long-term care needs. Yet close to 95 percent of beneficiaries needing long-term care are in fragmented fee-for-service programs, including a disproportionate number in institutions rather than consumer-preferred home- and community-based options. Overhauling the delivery of Medicaid long-term supports and services (LTSS) offers significant opportunities to improve health care quality, control costs, and enhance quality of life for millions of Americans.
Today, CHCS is releasing three Profiles of State Innovation Roadmaps that synthesize lessons from pioneering states for better managing the complex array of LTSS. Made possible by The SCAN Foundation, the roadmaps are intended to help states maximize new opportunities to improve long-term care delivery made possible through the Patient Protection and Affordable Care Act (ACA). The roadmaps showcase best practices in three critical areas:
- Rebalancing LTSS to provide more home- and community-based options instead of institutional care;
- Designing managed LTSS programs; and
- Integrating care for adults who are dually eligible for Medicare and Medicaid.
For each of these areas, the roadmaps draw from existing state experiences to outline key mileposts for program design and implementation. Each roadmap also highlights relevant ACA provisions designed to support efforts to improve long-term care delivery.
Download the Profiles of State Innovation Roadmaps:
- Roadmap for Rebalancing Long-Term Supports and Services
- Roadmap for Managing Long-Term Supports and Services
- Roadmap for Improving Systems of Care for Dual Eligibles
Made possible through support from The SCAN Foundation.