Long-term services and supports (LTSS) for the elderly and younger populations with disabilities are a significant component of national health care spending. In 2012, spending for these services was $219.9 billion (9.3 percent of all U.S. personal health care spending),…
ACA Medicaid HCBS
The Patient Protection and Affordable Care Act of 2010 (ACA) enacted the most significant opportunities for optional state expansion of Medicaid-financed home- and community-based services (HCBS) since 1981, when Congress enacted the section 1915(c) waiver program. Three of the ACA provisions, the Balancing Incentive…
Household Food Security in the United States in 2011
Most U.S. households have consistent, dependable access to enough food for active, healthy living—they are food secure. But a minority of American households experience food insecurity at times during the year, meaning that their access to adequate food is limited…
Trends in Medicaid Reform (Aging in America Conference)
A presentation slide deck reviewing the basics of Medicaid and the evaluation of the home and community based services system, and examining the drivers of reform and key trends in the coming years.…
On the Verge: The Transformation of Long-Term Services and Supports
Several documents are available, describing the findings of six state surveys, highlighting state LTSS transformations, budget cuts and increased demand, staffing changes and reductions and the uncertainty of the Affordable Care Act.…
2012 State of Aging and Disabilities Survey: Another Year of Challenges Tempered by Opportunities
Like the 2009 and 2011 surveys conducted by the National Association of States United for Aging and Disabilities (NASUAD), the 2012 survey has captured a snapshot of the states during a period of change. Themes emerging from the 2012 state…
State Aging and Disability Agencies in Times of Change: State of the States Survey 2011
The 2011 survey captured a snapshot of the states in a period of transition and change. Key elements driving continued change include the economic environment, Affordable Care Act implementation, uncertainty in the federal budget particularly with the failure of the…
Older Americans Act: More Should Be Done to Measure the Extent of Unmet Need for Services
Studies project large increases in the number of adults who will be eligible for services in the future and likely government budget constraints. In advance of program reauthorization scheduled for 2011, GAO was asked to determine: (1) what is known…
Food and Nutrition Programs for Community-Residing Older Adults Position of the American Dietetic As
Given the federal cost-containment policy to rebalance long-term care away from nursing homes to home- and community-based services, it is the position of the American Dietetic Association, the American Society for Nutrition, and the Society for Nutrition Education that all…
Data Sources on Older Americans 2009
Data Sources on Older Americans (DSOA) highlights the contents of government-sponsored surveys and products containing statistical information about the older population. All Federal agencies are invited to contribute to this report and participate in the Forum.…
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