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The Henry J. Kaiser Family Foundation

Medicaid as a Long-Term Care Program: Current Benefits and Flexibility

This brief focuses on one subset of “flexibility” issues: the current federal benefits and cost-sharing rules that apply with respect to long-term care.Issue Paper (.pdf)

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The Henry J. Kaiser Family Foundation

An Overview of the Independence Plus Initiative to Promote Consumer-Direction of Services in Medicaid

This issue brief provides an overview of the Independence Plus Initiative, compares core program features with the Cash and Counseling Demonstration program, and discusses several policy issues that arise in the implementation of this initiative.Issue Paper (.pdf)

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The Henry J. Kaiser Family Foundation

The Distribution of Assets in the Elderly Population Living in the Community

Individuals cannot qualify for Medicaid nursing home care or home and community-based services unless they meet their state's asset eligibility standards. Currently, states are required to examine all transfers for less than fair market value that occurred within 36 months prior to an individual's application for Medicaid. This issue paper…

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The Henry J. Kaiser Family Foundation

Private Long-Term Care Insurance:  Who Should Buy It and What Should They Buy?

Private Long-Term Care Insurance: Who Should Buy It and What Should They Buy?Despite the growing interest in private long-term care insurance (LTCI), there has been little independent examination of how much protection LTCI policies provide consumers or whether LTCI policies are a worthwhile purchase for people of average means. This…

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The Henry J. Kaiser Family Foundation

Medicaid Long-Term Services and Supports: Key Changes in the Health Reform Law

This issue brief examines new opportunities under the health reform law for states to balance their Medicaid long-term care delivery systems by expanding access to Medicaid home and community-based services (HCBS) programs. The brief outlines key provisions of the new law that expand HCBS benefit options, broaden financial and functional…

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The Henry J. Kaiser Family Foundation

Profiles of Medicaid’s High Cost Populations

This paper examines the role that Medicaid plays in addressing six populations (preterm birth babies, foster care children, individuals with spinal cord and traumatic brain injuries, individuals with mental illness, individuals with intellectual and developmental disabilities, and people with Alzheimer's disease) with serious health needs resulting in high costs. For…

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The Henry J. Kaiser Family Foundation

Learning From History: Deinstitutionalization of People with Mental Illness As Precursor to Long-Term Care Reform

This report examines what policy lessons can be learned from the deinstitutionalization of people with mental illnesses and applied to potential long-term care reform for the elderly or those with significant disabilities. The study assesses the reforms that took place under deinstitutionalization, their impact and what mistakes were made. It…

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The Henry J. Kaiser Family Foundation

Medicaid Home and Community-Based Services Programs: 2010 Data Update

This report summarizes the key participation and spending trends in 2010 for the three main Medicaid Home and Community-Based Services (HCBS) programs – (1) the mandatory home health services state plan benefit, (2) the optional personal care services state plan benefit, and (3) optional § 1915(c) HCBS waivers services. Also highlighted are 2012 state eligibility, enrollment, and provider reimbursement policies.

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The Henry J. Kaiser Family Foundation

Closing the Long-Term Care Funding Gap: The Challenge of Private Long-Term Care Insurance

This policy brief from the Kaiser Commission on Medicaid and the Uninsured examines the fundamentals of private long-term care insurance. It describes the results of a study exploring how consumers buy policies, how much policies cost and how they work, and what regulations exist to protect consumers. It also discusses…

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The Henry J. Kaiser Family Foundation

Financial Incentives in the Long-Term Care Context: A First Look at Relevant Information

Financial Incentives in the Long-Term Care Context: A First Look at Relevant Information This report reviews Medicare’s payment policies as they may affect medical care for residents in long-term care environments, including a look at the financial incentives that could play a role in hospital and skilled nursing facility admissions.…

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