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The Henry J. Kaiser Family Foundation

Implementation of Affordable Care Act Provisions to Improve Nursing Home Transparency, Care Quality, and Abuse Prevention

The Affordable Care Act (ACA) is the first comprehensive legislation since the Nursing Home Reform Act, part of the Omnibus Budget Reconciliation Act of 1987 (OBRA ’87), to expand quality of care-related requirements for nursing homes that participate in Medicare and Medicaid and improve federal and state oversight and enforcement.…

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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

Improving the Financial Accountability of Nursing Facilities

This report examines nursing facility expenditures to assess relative spending increases in areas such as nursing services, administrative costs, and profits. Using California as a case study, it explores reimbursement by cost category and a standard medical loss ratio (MLR) as potential policy options to improve nursing facility financial accountability and care quality.

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The Henry J. Kaiser Family Foundation

Overview of Nursing Facility Capacity, Financing, and Ownership in the United States in 2011

Introduction Nursing facilities are a major provider of long-term care services in the United States. These facilities provide medical, skilled nursing, and rehabilitative services on an inpatient basis to individuals who need assistance performing activities of daily living, such as bathing and dressing. Nursing facilities are one part of the…

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The Henry J. Kaiser Family Foundation

Five Key Facts About the Delivery and Financing of Long-Term Services and Supports

This fact sheet highlights key facts about institutional and community-based long-term services and supports and Medicaid’s role in the delivery and financing of long-term care for children, adults, and seniors.

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The Henry J. Kaiser Family Foundation

Medicaid Financial Eligibility: Primary Pathways for the Elderly and People with Disabilities

This issue brief details the various eligibility pathways by which individuals with disabilities and the elderly can qualify for Medicaid coverage. The program, which serves as a safety net for many of the nation’s poorest and sickest individuals, provides health coverage to nearly 60 million Americans, including 8.5 million with…

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