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Public Policy Institute

State Studies Find Home and Community-Based Services to Be Cost Effective

This report reviews 38 state evaluations of publicly funded HCBS programs. It shows states have been able to contain costs as they have expanded HCBS. More

Article | March 19, 2013

Raising Expectations: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers

This first-ever evaluation of state performance shows wide variation in care and support for older adults and persons with disabilities More

Article | November 30, 2012

A New Way of Looking at Private Pay Affordability of Long-Term Services and Supports

The affordability of private pay services is an important component of long-term services and supports (LTSS) system performance. When private pay services are relatively more affordable (or less unaf ... More

Article | October 8, 2012

Across the States 2012: Profiles of Long Term Services and Supports

Across the States 2012 presents comparable state-level and national data for more than 140 indicators. More

Article | September 25, 2012

Removing Barriers to Advanced Practice Registered Nurse Care: Home Health and Hospice Services

The landmark 2011 Institute of Medicine report, The Future of Nursing, Leading Change, Advancing Health, recommends that advanced practice registered nurses (APRNs) be allowed to certify patients for ... More

Article | July 31, 2012

Solutions Forum - Delivering Long-Term Services and Supports: How Can States Do Better?

This forum brought experts, state and local officials together to discuss a report released by AARP's Public Policy Institute with support from The Commonwealth Fund and The SCAN Foundation. More

Article | September 14, 2011

Weathering the Storm: The Impact of the Great Recession on Long-Term Services and Supports

This report documents how the recession continues to affect state programs for older individuals and adults with physical disabilities. States have used many administrative tools to curtail expenditur ... More

Article | August 4, 2011

How the Affordable Care Act Can Help Move States Toward a High-Performing System of Long-Term Services and Supports

This article, published in Health Affairs, defines long-term services and supports and outlines the key characteristics of a high-performing system. More

Article | August 4, 2011

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

This fact sheet by Enid Kassner describes home and community-based long-term services and supports: what they are, who receives them, where they are delivered, and how people pay for them. More

Article | May 3, 2011

In Brief: Building Adult Foster Care: What States Can Do

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 ro ... More

Article | June 18, 2010