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The Henry J. Kaiser Family Foundation

Consumer Direction of Personal Assistance Services Programs in Medicaid: Insights from Enrollees in Four States

Consumer Direction of Personal Assistance Services Programs in Medicaid: Insights from Enrollees in Four StatesMedicaid consumer direction of personal assistance services (CD-PAS) is a growing trend. Although overall enrollment in these programs is small, 42 states offered consumer direction in Medicaid in 2006. These programs allow Medicaid beneficiaries control over…

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The Henry J. Kaiser Family Foundation

Nursing Home Reform: Then and Now

To mark the 20th anniversary of the passage of landmark federal legislation to improve the quality of nursing home care, the Omnibus Budget Reconciliation Act of 1987 (known as OBRA 87), this video examines the history surrounding the law. The video includes a look at the state of nursing home…

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The Henry J. Kaiser Family Foundation

Nursing Home Care Quality:  Twenty Years After the Omnibus Budget Reconciliation Act of 1987

Nursing Home Care Quality: Twenty Years After the Omnibus Budget Reconciliation Act of 1987To mark the 20th anniversary of the passage of landmark federal legislation to improve the quality of nursing home care, the Omnibus Budget Reconciliation Act of 1987 (known as OBRA '87), this report explains the key provisions…

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The Henry J. Kaiser Family Foundation

New Resources and Briefing Explore Nursing Home Reform Twenty Years After Passage of Landmark Law

To mark the 20th anniversary of the passage of landmark federal legislation to improve the quality of nursing home care, the Omnibus Budget Reconciliation Act of 1987 (known as OBRA 87), the Kaiser Family Foundation released new resources and cosponsored a Washington, D.C. briefing. Among the resources released were new…

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The Henry J. Kaiser Family Foundation

Long-Term Service and Supports: The Future Role and Challenges for Medicaid

This report examines the structure and impact of Medicaid’s role in long-term care. Based on a roundtable discussion of policy makers and experts and drawn from a body of health services research, the report highlights policy challenges facing the Medicaid program today and identifies issues in providing long-term care going…

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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’s Rehabilitation Services Option:  Overview and Current Policy Issues

Medicaid’s Rehabilitation Services Option: Overview and Current Policy IssuesIn 2007, the President reintroduced a plan to place new restrictions on the types of services allowable under the Medicaid rehabilitation services option (called the rehab option) to yield federal budget savings of $2.29 billion over the next five years. Currently, 47…

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The Henry J. Kaiser Family Foundation

Changes in Characteristics, Needs, and Payment for Care of Elderly Nursing Home Residents: 1999 to 2004

The proportion of elderly adults over age 65 in nursing homes has declined over the past two decades, most noticeably in recent years. Reasons suggested for this trend include reductions in disability rates among elderly people, improvements in mechanisms for coping with disability, and changes in the residential and long-term…

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The Henry J. Kaiser Family Foundation

Beyond Cash and Counseling: The Second Generation of Individual Budget-Based Community Long-Term Care Programs for the Elderly

States are increasingly interested in the individual budget model for older Medicaid beneficiaries as a mechanism to improve responsiveness of benefits to beneficiaries’ needs and preferences and to increase their ability to remain outside or leave nursing homes. Beginning in January 2007, a new provision in the Deficit Reduction Act…

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The Henry J. Kaiser Family Foundation

Medicaid and Long-Term Care: Recent Publications Illuminate Key Policy Issues

With recent policy debates about the future of Medicaid, the Foundation’s Kaiser Commission on Medicaid and the Uninsured has created a resource page of recent publications that address key policy issues when examining Medicaid’s role for high cost populations and in long-term care. Of particular interest are a report profiling…

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