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Promotion and Maintenance of the LTSS Initiatives Compendium Website

This project will support continued dissemination and promotion of the LTSS Compendium through the production of policy briefs and demonstrations on how to use the site.

Master Plan for Aging Impact Evaluation

Multisector Plans for Aging (MPA) provide a framework for states to support and prepare for their growing population of older adults. Twenty-seven states are either implementing, developing or actively planning for an MPA. This project is assessing the needs of these states as we move into an election year to ensure MPAs do not lose momentum.

Health Matters Forum: A Conversation with Our Next Governor

The 2026 California gubernatorial race presents an opportunity to educate candidates about issues impacting health and aging. Capitol Impact will produce a candidate forum in Fall 2025 with support from 11 philanthropic partners to educate candidates and engage media on health and aging priorities, like access to LTSS.

Voces de los Mayores- Amplifying Lived Experience to Shape Policy

Sharing the stories of people with lived experience provides an opportunity to highlight what they need to live well at home and in community. Voces de los Mayores, is a storytelling and civic engagement initiative that collects and uplifts the lived experiences of Hispanic older adults navigating long-term services and supports (LTSS) and healthcare systems. As a result of this project up to 20 older adults will be trained to publicly share their stories.

Building Demand for Person-Centered Outcome Measures Drive Value-Based Care

Over the past decade, with support from The SCAN Foundation (TSF), The John A. Hartford Foundation (JAHF), and The Gordon and Betty Moore Foundation, the National Committee for Quality Assurance (NCQA) has developed Person-Centered Outcome (PCO) measures to align care delivery with what matters most to older adults. These measures aim to transform health systems to produce better, more equitable, and cost-effective outcomes by centering care around individuals, their families, and communities. The ultimate goal is to include the PCO measures in the Healthcare Effectiveness Data and Information Set (HEDIS®), one of the nation’s most widely used health performance tools, covering 235 million enrollees.

NAMD Affinity Group Summit

Access to and affordability of health care is central to older adults, especially those who are dually eligible, to remain in the community. With co-funding from AARP Foundation, Arnold Ventures, State Value Health Strategies and The Commonwealth Fund, this project will the engage of an Affinity Group of Medicaid leaders across all 50 states and territories to build cross-state and cross-disciplinary learning. This will be accomplished through ongoing technical assistance and a 2 day meeting of Medicaid leaders.

Supporting aging in place of choice with connected health technologies and digitally-enabled care delivery: Exploring a TSF-Funded Component

The Aging in Place Initiative—led by the Digital Medicine Society (DiMe) in partnership with the Consumer Technology Association (CTA) through the Connected Health Collaborative Community (CHcc)—is advancing a coordinated, scalable approach to help older adults live safely and independently where they choose. Recognizing that aging in place is not just a healthcare issue but a system design challenge, the Aging in Place Initiative brings together healthcare providers, payors, innovators, and advocates to define the technology, infrastructure, and best practices that make aging in place of choice possible.

The People Say Platform Operations and Evolution

LTSS Learning Lab

In response to growing Medicaid and LTSS pressures following the passage of H.R. 1, TSF is supporting a LTSS Learning Lab that connects state Medicaid leaders with researchers to share real-time evidence and practical solutions, producing actionable insights and resources to inform state policy decisions.

California Advocacy Network 2026-2027

Founded by The SCAN Foundation in 2011, the CCLTSS advances long-term services and supports reform in California by uniting state and county-level organizations to educate policymakers, build consensus on policy solutions, and strengthen advocacy for programs that support older adults and people with disabilities across the state’s system of care. This is accomplished statewide monthly policy meetings and local engagements. CCLTSS through the work will produce webinars, factsheets, hold advocacy days, and elevate the stories of people with lived experience.

LTSS Modeling

There is an urgent need for tools capable of directly evaluating the economic and fiscal trade-offs of specific policy levers and assessing the impact of LTSS policy recommendations. This project will result in the establishment of such a tool, an analytic model capable of assessing diverse federal LTSS financing policy ideas that would be designed to align with the methodologies and assumptions used by the Congressional Budget Office (CBO), the most trusted nonpartisan source of legislative analysis. The tool and its benefits will be disseminated to key policymakers and stakeholders through a public event, private briefings, and at least two policy reports.

Developing a Microsite to make LTSS Financing Initiatives Compendium a searchable Web-based tool.

To advance long-term service and support (LTSS) reforms policymakers might consider the history of policy efforts in this area as an important source of information and context. This project will create a user-friendly website to showcase the LTSS Compendium of legislative reform solutions proposed over the last 30 years, as well as those put forward by researchers and think tanks.

Educating State Legislatures on Multisector Approaches for Aging

Convening and providing education to policy makers is central to driving policy change. This project, cofunded by The John A Hartford Foundation and West Health, will equip legislators with the knowledge needed to understand and consider how Multisector Plans on Aging support aging policy. This will be accomplished through a series of briefs and a daylong meeting of state legislatures.

Health Affairs Journal Articles to Amplify the Voices of Older Healthcare Beneficiaries & Caregivers

Health Affairs will explore a new article format to highlight the real-life impact of health policy on older adults. This innovative approach seeks to foster meaningful dialogue between older adults with lived experience and academic policy researchers, encouraging a meaningful exchange of insights and perspectives. The personal stories and insights shared by participants will not only promote mutual understanding but also inform and shape the policy-making process, elevating the voices of those with lived experience. Three articles will be published as part of this exploration.

Post-Launch Activities Year 2

This grant ensures The People Say website has continuous technical and administrative support.