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Toward a model long-term services and supports system: state policy elements.

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  • 1Institute for Health & Aging, University of California, San Francisco. steve.kaye@ucsf.edu.

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Summary
This summary is machine-generated.

This commentary outlines policies to enhance long-term services and supports (LTSS) by promoting community-based care, equity, and consumer control. It addresses workforce, caregiver support, and quality measurement for improved outcomes.

Keywords:
Access to careConsumer-directed servicesHome- and community-based services

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Area of Science:

  • Health Policy and Services Research
  • Gerontology and Long-Term Care

Background:

  • Federal initiative to reform the U.S. long-term services and supports (LTSS) system.
  • Current system often favors institutional care over community-based alternatives.
  • Need to address inequities and improve consumer choice within LTSS.

Purpose of the Study:

  • To discuss policies and practices for improving the U.S. LTSS system.
  • Focus on shifting from institutional to community-based services.
  • Enhance equity, consumer control, worker conditions, and consumer outcomes.

Main Methods:

  • Commentary synthesizing existing research and policy recommendations.
  • Analysis of policy areas including access, consumer direction, workforce, and caregiver support.
  • Consideration of managed care organizations' role in LTSS delivery.

Main Results:

  • Identified key policy areas for LTSS improvement: access, consumer direction, workforce development, caregiver support, transitions, diversion, and quality measurement.
  • Highlighted specific policy considerations for managed LTSS, including financial aspects, enrollment, assessment, and care coordination.
  • Emphasized the importance of supporting independent living goals.

Conclusions:

  • Implementing a comprehensive policy agenda can significantly improve the LTSS system.
  • Shifting focus to community-based, equitable, and consumer-centered care is crucial.
  • Addressing workforce and caregiver needs is essential for sustainable LTSS reform.