PPI Reports on Home and Community-Based Services

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inb 178 Building Adult Foster Care

This PPI report examines the role of adult foster care (AFC) within the array of long-term services and supports. It explores the trends and issues facing adult foster care providers, discusses the role of the Nurse Practice Act on the scope of services available in adult foster care and offer recommendations as to how states can support the development and growth of AFC services.

September 17, 2009

Building Adult Foster Care: What States Can Do

States are currently facing major budget shortfalls and are looking for viable options to provide services and supports to older adults and people with disabilities. As states attempt to “balance” LTSS to offer consumers a broader array of services, they need to consider how to develop, regulate and fund an array of home and community-based services (HCBS) including adult foster care. This PPI report examines the role of adult foster care (AFC) within the array of long-term services and supports and offers guidance to policy-makers interested in developing or expanding AFC.

September 17, 2009

By: Robert L. Mollica; Kristin Simms-Kastelein; Michael Cheek; Candace Baldwin; Jennifer Farnham; Susan Reinhard; Jean Accius

Taking the Long View: Investing in Medicaid Home and Community-Based Services Is Cost-Effective

This AARP Public Policy Institute Insight on the Issues highlights research showing, over time, states that invest in home and community-based services (HCBS) experience slower Medicaid expenditure growth than states with low HCBS spending. (8 pages)

March 18, 2009

By: Robert L. Mollica, National Academy for State Health Policy; Enid Kassner, AARP Public Policy Institute; Lina Walker, AARP Public Policy Institute; Ari N. Houser, AARP Public Policy Institute | Source: AARP Public Policy Institute; National Academy for State Health Policy

A Balancing Act: State Long-Term Care Reform

This AARP Public Policy Institute research paper examines the extent to which states have balanced the delivery of Medicaid-funded long-term care services and supports to older people and adults with physical disabilities in their homes (or in more home-like settings in their communities) and in institutions. (193 pages)

July 11, 2008

By: Enid Kassner, AARP Public Policy Institute; Susan Reinhard, RN, Ph.D., FAAN, AARP Public Policy Institute and Center to Champion Nursing in America; Wendy Fox-Grage, AARP Public Policy Institute; Ari N. Houser, AARP Public Policy Institute; Jean C. Accius, AARP Public Policy Institute; Barbara Coleman, Independent Consultant; Dann Milne, Independent Consultant | Source: AARP Public Policy Institute; Independent Consultant

In Brief: A Balancing Act: State Long-Term Care Reform

This brief synopsis of an AARP Public Policy Institute research paper examines the extent to which states have balanced the delivery of Medicaid-funded long-term care services and supports to older people and adults with physical disabilities in their homes (or in more home-like settings in their communities) and in institutions. (2 pages)

July 11, 2008

In Brief: State and Local Strategies for Ensuring Backup Personal Care Services

A succinct summary of the similarly title AARP Public Policy Institute report examining state and local initiatives to ensure that effective mechanisms and safeguards are in place to identify and respond to service delivery failures that require backup coverage for Medicaid personal care services. (2 pages)

October 1, 2006

By: Enid Kassner, AARP Public Policy Institute | Source: AARP Public Policy Institute

Consumer-Directed Home and Community-Based Services

The growing trend toward “consumer direction” (CD) in the delivery of home and community-based long-term care services is described in this AARP Public Policy Institute Fact Sheet by Enid Kassner. Examining the program’s use among older people with disabilities, the report identifies issues policymakers should consider as its use continues to grow. (2 pages)

May 19, 2006

By: Enid Kassner, AARP Public Policy Institute;

Home and Community-Based Long-Term Services and Supports for Older People

How assistance with daily activities provided by home and community-based long-term services helps people with disabilities remain in their homes, the sources of payment for these services, and the types of programs that provide it are discussed in this AARP Public Policy Institute Fact Sheet by Enid Kassner. (2 pages)

March 30, 2006

By: Enid Kassner, AARP Public Policy Institute | Source: AARP Public Policy Institute

Learning from Abroad: Lessons and Questions on Personal Health Records for National Policy

The status of personal health record adoption in Australia, Canada, England and New Zealand is described in this AARP Public Policy Institute Issue Paper by Don Detmer, M.D., and Elaine Steen. While concluding that differences between the U.S. health care system and those in the nations studied preclude wholesale borrowing of ideas and approaches, they identify areas of common focus and shared purpose. (81 pages)

March 23, 2006

By: Don Detmer, MD, MA, President and Chief Executive Officer, American Medical Informatics Association; Elaine Steen, MA, Policy Analyst, American Medical Informatics Association | Source: AARP Public Policy Institute; American Medical Informatics Association

In-Brief: Home Care Quality: Emerging State Strategies to Deliver Person-Centered Services

A succinct summary of the AARP Public Policy Institute Issue Paper in which the efforts of three states – South Carolina, Washington and Wisconsin – to improve home care quality by using a more person-centered approach are described by Donna Folkemer of the National Conference of State Legislatures and Barbara Coleman. (2 pages)

March 3, 2006

By: Enid Kassner, AARP Public Policy Institute | Source: AARP Public Policy Institute

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