Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS

Using authority in the Affordable Care Act, the Centers for Medicare and Medicaid Services (CMS) has launcheddemonstrations that seek to improve care and control costs for people who are dually eligible for Medicare andMedicaid. Nearly 355,000 beneficiaries in nine states are enrolled in these demonstrations as of June, 2015. Implemented beginning in July 2013, the […]

Medicaid Home and Community-Based Services Programs: 2011 Data Update

As states continue to implement various aspects of the Affordable Care Act (ACA), developing and expanding home and community-based alternatives to institutional care remains a priority for many state Medicaid programs. While the majority of Medicaid long-term services and supports (LTSS) dollars still go toward institutional care, the national percentage of Medicaid spending on home […]

Medicaid and Long-Term Services and Supports: A Primer

Medicaid is the nation’s major publicly-financed health insurance program, covering the acute and long-term services and supports (LTSS) needs of millions of low-income Americans of all ages.  With limited coverage under Medicare and few affordable options in the private insurance market, Medicaid will continue to be the primary payer for a range of institutional and […]

Long-Term Care in the United States: A Timeline

Long-term care (LTC) in the United States has evolved over the course of the last century to better serve the needs of seniors and persons with disabilities. This timeline outlines the major milestones in LTC from the nursing home era, which created an institutional bias in LTC, to the era of home and community based […]