National policymakers and state Medicaid leaders are paying greater attention to better management of long-term supports and services (LTSS). The reasons are obvious: aging of the baby boom population; severe fiscal pressures; the disproportionate costs of those with serious long-term conditions; an ongoing over-reliance on institutional care; and the fact that LTSS remains almost entirely in the unmanaged fee-for-service system. Yet an array of financial, administrative, bureaucratic, and political obstacles impede states from rebalancing their LTSS programs toward greater emphasis on home-and community-based alternatives.
This brief outlines initial policy recommendations for reforming the nation's Medicaid-funded LTSS system to support more cost-effective and consumer-oriented long-term care options.
It provides a useful summary for understanding:
This brief is part of CHCS' Innovations in the Medicaid Continuum of Care series, developed to help state and federal policymakers identify high-quality and cost-effective strategies for addressing the full range of clinical and long-term supports and services (LTSS) needs of Medicaid beneficiaries.