Toward a Model Long-Term Services and Supports System: State Policy Elements

In response to a new Federal initiative to improve the U.S. long-term services and supports (LTSS) system, this commentary discusses an array of policies and practices that could potentially improve LTSS provision by shifting from institutional to community-based services, increasing equity across populations, offering consumers more choice and control, improving conditions for workers and caregivers, […]

Iowa’s Privatized Medicaid in “State of Emergency”

Four months is all it took. In April, when Iowa governor Terry Branstad handed over the state’s Medicaid program to private insurance companies, many questioned his motives. Recent large-scale transitions to privatized Medicaid in states like Florida and Kansas haven’t fared well. The Des Moines Registerwarned, “The health care of a half million people and $4 […]

A letter to the Editor of the Milwaukee Journal Sentinel

I was dismayed to read the recent Journal-Sentinel article on Governor Scott Walker’s proposal to dismantle the highly successful Wisconsin Family Care (WFC).  I have studied long term care and health care services for older and disabled younger adults for close to 35 years.  I can say without qualification that the WFC program is one […]

Report on Medicaid Home Care Reductions in New York

A detailed report by a coalition of more than 100 nonprofit groups found that since January 2015, Senior Health Partners of Healthfirst and at least two other companies have been systematically cutting the hours of home care to their disabled clients, typically without proper notice or legal justification. – The New York Times Read the […]