Financing

Older Adults’ Perceptions on Whether and How Care Preferences are Heard, Respected, and Incorporated into Care: A Focus Group Analysis

This report presents qualitative findings from a study exploring how older adults—particularly those from communities of color, experience the healthcare system, focusing on whether and how their care preferences are heard, respected, and incorporated into care. Report July 2025...

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End of Life Analysis of Costs of Ignoring Preferences-NHATs Analysis

Tracking Progress on Person-Centered Care: What Does It Really Cost Us to Ignore Patient Preferences? Report June 2025...

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Providers’ Perspectives on Identifying Ways to Mitigate Obstacles and Improve Opportunities for Assuring Patients’ Care Preferences are Heard and Taken into Account

This report documents the attitudes and opinions of 28 healthcare professionals (physicians, nurse practitioners, and physician assistants) regarding whether and how they engage in shared decision-making, navigate barriers to honor patient preferences, and adapt strategies across diverse populations. Report February 2025...

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Addressing the Nation’s Retirement Crisis: The 80%

Jane Tavares, K. Glova, M. Pallis, Marc Cohen, R. Sethi Today’s 65-year-old can expect to live another 20 years, according to the Social Security Administration. Researchers found that 80% of older adults are either financially struggling now or at risk for economic insecurity in retirement. Report August 2024...

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Older Adults Facing the “Medicare Cliff” Experience Worsening Health and Financial Security

Eileen Tell, Jane Tavares, Marc Cohen, R. Basel, S. Silberman Low-income older adults who lose Medicaid coverage when they transition to Medicare experience rising out-of-pocket medical expenses, declining net worth, and worsening health. Report June 2024...

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Long-Term Services and Supports: A New Chapter of State-Based Solutions

Carolyn Villars, Ceci Thunes, Marc Cohen The U.S. is at a point where doing nothing to fix our long-term services and supports (LTSS) system exceeds the cost of building a new program. Due to a lack of federal movement, states are increasingly looking at what they can do to create…...

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The Future of Long-Term Service and Supports: Centering the Voices of Older Adults in Massachusetts

Carolyn Villars, Ceci Thunes, Marc Cohen Shortcomings in the long-term services and supports (LTSS) system for older adults and persons with disabilities in Massachusetts, and around the country, have led to widespread discontent with the system. This study aimed to bring the voices of older adults and caregivers to policy…...

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Economic Insecurity for Older Adults in the Presence of the COVID-19 Pandemic

Jane Tavares, Marc Cohen, Susan Silberman Issue Brief...

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Potential Financial Impacts of the COVID-19 Pandemic on Minority Older Adults

Jane Tavares, Marc Cohen, Susan Silberman Issue Brief...

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