This policy brief summarizes findings from the newly released long-term care financing option research by the Urban Institute and Milliman, Inc., courtesy of Health Affairs.
California’s implementation of the Patient Protection and Affordable Care Act (ACA) holds tremendous opportunity for both health care and long-term services and supports (LTSS) delivery. This brief describes the state’s implementation of key ACA provisions to improve services for older adults and persons with disabilities, and notes additional recommendations for system transformation.
Signed into law in 2010, the Patient Protection and Affordable Care Act included provisions to transform the health care delivery and long-term services and supports systems for older adults. The Foundation's most recent brief highlights eight elements focused on care coordination and increased access to home and community-based services implemented since the law's enactment.
The 2nd State Scorecard on Long-Term Services and Supports shows California ranked 9th overall. While California ranks higher than most states, much work remains to be done to improve affordability, quality, and coordination of services within the state’s system of care to ensure that older adults and people with disabilities can access needed services to support independence and quality of life.
The findings contained in this report demonstrate the inter-relationship between acute, postacute, and long-term services and support (LTSS) services for Medicare and Medicaid Enrollees (MMEs).
As states move to managed care delivery systems for individuals with complex needs, it is important to engage medical, behavioral health, and home- and community-based providers as well as hospitals and nursing facilities in establishing new programs. Providers can play an essential role by sharing successes and challenges with states and educating patients about the managed care program. This technical assistance brief offers tips to help states effectively engage providers in managed care program design and implementation.