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New state strategies to meet long-term care needs
Pamela Doty1, Kevin J Mahoney, Mark Sciegaj
1Office of the Assistant Secretary for Planning andEvaluation, US Department of Health andHuman Services inWashington, DC, USA. Pamela.Doty@hhs.gov
Health Affairs (Project Hope)
|January 6, 2010
Summary
Consumer-directed long-term care programs offer flexibility and reduce unmet needs. States successfully overcome expansion challenges, providing valuable insights for others.
Area of Science:
- Health Services Research
- Public Policy
- Social Work
Background:
- Consumer-directed services enhance participant autonomy in long-term care.
- Medicaid programs face challenges expanding these services.
Purpose of the Study:
- To identify strategies for overcoming barriers to consumer-directed long-term care expansion.
- To provide guidance for states implementing such programs.
Main Methods:
- Analysis of state experiences with consumer-directed service programs.
- Review of challenges and successful mitigation strategies.
Main Results:
- Expansion is hindered by costs, staffing, infrastructure, and stakeholder resistance.
- States have developed effective strategies to address these challenges.
Conclusions:
- State experiences offer valuable lessons for successful consumer-directed service expansion.
- Overcoming challenges is feasible, even in difficult economic conditions.
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