Advancing Long-Term Care Reform: Policies, Innovations, and Pathways to Impact
For decades, policymakers and advocates have called for comprehensive solutions to help individuals plan for and finance their long-term care needs.
As the population ages and care costs rise, the urgency to act has never been greater.
Despite numerous proposals from both public and private sectors, long-term services and supports (LTSS) remain financially out of reach for millions of older adults—and access remains uneven.
To meet this critical moment, the LeadingAge LTSS Center @UMass Boston, in collaboration with The SCAN Foundation and ATI Advisory, has developed a suite of resources to guide policymakers, stakeholders, and health system partners toward meaningful LTSS financing and delivery reform.
This LTSS Financing Project includes:
A Federal Policy Compendium
A comprehensive catalog of LTSS financing proposals introduced in the U.S. since 1990, including legislative efforts, policy reports, research, and both public and private reform strategies.
Read the Compendium
A Medicaid Policy Brief on Access to Home and Community Based Services (HCBS)
An exploration of how state Medicaid policies and administrative processes affect access to home- and community-based services—featuring first-hand experiences from individuals navigating these systems.
Read the Medicaid Policy Brief
A Federal-State Innovation Brief
A framework for how the federal government can support state-led LTSS reforms, with real-world examples to inform and inspire action.