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The Henry J. Kaiser Family Foundation

The Community Living Assistance Services and Supports (CLASS) Act

This issue brief provides a brief overview of the Community Living Assistance Services and Supports (CLASS) Act, including a discussion of how the program would be financed and whom it is intended to reach. The paper was released as part of a Kaiser briefing about the act, a component of…

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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

The Wide Circle of Caregiving

The Kaiser Family Foundation helped conduct a national survey of over 1,000 informal caregivers in 1998 to assess the policy issues involved with this new, growing role for many family members and friends. Nearly one of every four adults (23 percent) is an informal caregiver, and, as the American population…

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The Henry J. Kaiser Family Foundation

Nursing Home Staffing Standards

This policy brief describes the current federal staffing requirements and how states separately regulate staffing levels in nursing homes. It also presents data showing actual staffing levels in over half of this country’s nursing homes exceed the levels that states and the federal government require.

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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

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

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

Health Reform Opportunities: Improving Policy for Dual Eligibles

As the nation considers national health reform, this brief provides an overview of opportunities to realign federal and state policy for the dual eligibles to promote a more rational, cost-efficient system for 9 million of the poorest, sickest and highest-cost people covered by both Medicaid and Medicare. Navigating two programs…

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The Henry J. Kaiser Family Foundation

To Hospitalize or Not to Hospitalize? Medical Care for Long-Term Care Facility Residents

To Hospitalize or Not to Hospitalize? Medical Care for Long-Term Care Facility Residents This report explores factors that appear to drive relatively high rates of hospitalizations, based on interviews with doctors, nursing home staff and families in four cities. Key factors include liability concerns, limited onsite staff capabilities, difficulty reaching…

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The Henry J. Kaiser Family Foundation

Proposed Models to Integrate Medicare and Medicaid Benefits for Dual Eligibles: A Look at the 15 State Design Contracts Funded By CMS

This brief summarizes 15 states’ preliminary proposals to better coordinate care for people who are in both the Medicare and Medicaid programs. The design contracts, funded by the federal Center for Medicare and Medicaid Innovation (CMMI), are an outgrowth of new efforts under the health reform law to develop service…

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