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The Henry J. Kaiser Family Foundation

State Options That Expand Access to Medicaid Home and Community-Based Services

This background paper examines various aspects of the Medicaid program that can expand access to home and community-based services (HCBS) and rebalance long-term care spending in favor of HCBS. As a result of the long-standing requirement that states cover facility-based care, the majority of Medicaid long-term care (LTC) expenditures historically…

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The Henry J. Kaiser Family Foundation

Profiles of Disability: Employment and Health Coverage

This Background Paper presents information on the disabled population, as well as alternative definitions of disability and the resulting impact on population estimates of the disabled population. In addition, this paper presents a profile of non-elderly persons with disabilities, including work status and health insurance coverage, and concludes with a…

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The Henry J. Kaiser Family Foundation

Medicaid Eligibility for Individuals with Disabilities

This issue paper updates the July 1999 report and provides a general overview of federal Medicaid eligibility policy for the low-income disabled population. This paper focuses on four broad groups of individuals with disabilities: children under 18; adults under 65 who are not living in institutions; adults under 65 who…

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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

Long-Term Care:  Medicaid’s Role and Challenges

Long-Term Care: Medicaid's Role and ChallengesThis Policy Brief examines Medicaid's role in providing long-term care services. It describes long-term care services, the population that needs these services, and how people get long-term care services. It provides an overview of health insurance coverage of persons with long-term care needs and describes…

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The Henry J. Kaiser Family Foundation

Regulation of Private Long-Term Care Insurance: Implementation Experience and Key Issues

Regulation of Private Long-Term Care Insurance: Implementation Experience and Key IssuesWhile private long-term care insurance (LTCI) has been available since the mid-1970s, its popularity has grown rapidly in recent years, and Congress is considering proposals that would further encourage LTCI purchase through expanded tax subsidies. Yet there has been little…

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The Henry J. Kaiser Family Foundation

Medicaid and the Elderly – Policy Brief

Medicaid and the ElderlySeptember 1995Medicaid is a crucial health financing program for the elderly population, providing assistance to over 1 in 10 Americans age 65 or older. Nearly four million elderly people receive Medicaid assistance with medical and long-term care expenses. Medicaid's coverage helps low-income elderly people gain access to…

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The Henry J. Kaiser Family Foundation

Key Facts: Women and Medicare

Medicare is a critical source of health insurance coverage for virtually all older women in the U.S. and for many younger women who have permanent disabilities. Today, 22 million women one in five adult women rely on Medicare for basic health insurance protection. In fact, women comprise 57% of the…

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The Henry J. Kaiser Family Foundation

Chronic Disease and Co-Morbidity Among Dual Eligibles: Implications for Patterns of Medicaid and Medicare Service Use and Spending

The health reform law contains provisions that aim to improve the delivery and coordination of services for persons enrolled in both Medicaid and Medicare, known as the dual eligibles. This population includes individuals with some of the most severely disabling chronic conditions. While the higher costs associated with services to…

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The Henry J. Kaiser Family Foundation

A Challenge for States: Assuring Timely Access to Optimal Long-Term Services and Supports in the Community

The Medicaid program is a major payer for long-term services and supports (LTSS) in the United States, accounting for 40 percent of total spending for long-term services and supports. The federal government has played an active role in sponsoring initiatives to promote a shift to community-based care; and evidence from…

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