Financing

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

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 new LTSS financing programs. Report April…...

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

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 discussions about LTSS reform. Report February…...

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Avoiding the Medicare Cliff: A Profile of Low-Income Older Adults

This research conducted by NCOA and the LeadingAge LTSS Center @UMass Boston seeks to fill in gaps in knowledge about the transition from Medicaid to Medicare for low-income older adults. Report November 2023...

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

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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Addressing the Nation’s Retirement Crisis: The 80%

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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