This 30-page issue paper by Barbara Coleman of the Public Polic Institute describes the strategies used by states to enhance the delivery and financing of long-term care services. The major long-term care goal for most states in recent years has been to control escalating Medicaid costs, particularly for nursing home care, and to provide people in need of long-term care services with greater options for home and community-based care. This report explains how some states have reached that goal.
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