Long-term Care

As the population ages — and as individuals with disabilities live longer due to advances in medicine — the demand for and utilization of long-term care services will increase. To meet this demand, more states are aligning their policies and programs with consumers’ needs and preferences. The Center for Health Law and Economics at UMass Medical School can help States reform their long-term care financing and delivery systems to:

  • Increase access to  home- and community-based care, while assuring access to needed institutional care
  • Maximize consumer independence and choice
  • Promote quality care
  • Contain cost growth
  • Protect the viability of public funds to support the most needy and promote private financing strategies
  • Protect individuals from becoming impoverished when they become disabled

The Center has significant experience in long-term care policy and financing, including in-depth knowledge of tools -- such as waivers -- for expanding access to long-term care services.  Our expert staff understands the complex long-term care system, including the impact of policy changes on consumers, advocates, providers, and payers. Our expertise allows us to:

  • Design innovative strategies to promote private financing of long term care
  • Assess provider payment methodologies to identify potential savings
  • Determine the effect of payment levels and methods on access to services
  • Devise state plan amendments, requests for Medicaid 1115 Research and Demonstration waivers, Medicaid 1915(c) Home and Community Based Services waivers, and other public and private mechanisms to implement improvements