A Study Examined Nursing Homes in Six States

A multistate MLTSS study shows nursing-home changes consistent with diversion. An AARP review shows why a home option also needs local capacity and financing.

The question

When long-term care shifts away from nursing homes, how can a state tell whether a family gained usable care at home?

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Today · 2 developments · 3 cited sources

Developments in this issue

Development 01 · 2 cited sources

The proportion of Medicaid residents in nursing homes significantly decreased.

A six-state study found nursing-home changes after mandatory MLTSS, while an AARP review identifies what community care needs to work locally.

Development 02 · 2 cited sources

Six Domains Communities Can Use to Support Model Replicability

AARP and ATI Advisory identify six conditions that communities need to replicate care models for older adults aging in place.

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Active threads

Should long-term care be financed and governed as part of the health system, or does keeping it separate protect it — and who absorbs the seam between them?3 signals →As families make home the permanent setting for long-term care, can households sustain the money, hours, and coordination that commitment demands?4 signals →When public payers fund long-term-care workforce improvements, do workers receive immediate gains while providers build durable capacity?2 signals →Will higher early-educator pay expand the child-care capacity that families can afford to use?3 signals →