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The AARP Public Policy Institute's nonpartisan policy analysis focuses on issues of critical importance to older Americans and draws on the work of experts across the ideological spectrum.

Financial Security

Working Collaboratively with Retailers to Fight Gift Card Fraud

Gift card fraud affects people of all ages, causing the average victim to lose $1,000.Since the start of the pandemic, gift card fraud has rapidly increased, with reported cases more than doubling in frequency.This report offers a look at gift card fraud from various angles before providing an assessment of industry’s role in intervention, both currently and in terms of future opportunities. 

Monthly Employment Data Digest

The latest monthly digest of employment data from the Bureau of Labor Statistics (BLS) examines the findings from the Employment Situation Report. It takes a closer look at employment data for people ages 55 and over, including labor force participation, employment rates, and duration of unemployment.

Financial Pain Points for Older Consumers: A Look at the CFPB Complaint Database

Ten years after its creation, the Consumer Financial Protection Bureau’s (CFPB) complaint database serves as a powerful tool for individuals to file complaints about a financial product or service, to see that their voices are heard, and in some cases to obtain relief. This report examines complaints filed with the CFPB from individuals self-reporting as older adults, largely focused on the time period from January 1, 2018, through June 30, 2021. 

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Livability Index

How livable is your community?

Health Security

Trends in Utilization Management of Prescription Drugs in Top Marketplace Plans

This paper discusses and examines utilization management (UM) trends in top 10 marketplace prescription drug plans between 2016 and 2020. 

Over 9 Million Adults Ages 50 and Older Faced Food Insecurity in 2020

This fact sheet describes trends in food insecurity and selected characteristics of food-insecure adults ages 50 and older. State-level data are included in the appendix.

The End of Unexpected Health Care Bills? Implementation of the “No Surprises Act” Is Key

This report discusses surprise medical billing and explores how the recently enacted "No Surprises Act" can protect consumers from unexpected health care costs. 

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Susan Reinhard is senior vice president and director of AARP Public Policy Institute. Read her latest blogs on family caregiving, healthy living, nursing and more. Read Susan's Blogs

Long-Term Services & Supports State Scorecard

A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers

Independent Living/Long-Term Services and Support

LTSS Choices: Empowered Direct Care Worker: Lessons from the Green House Staffing Model

This paper describes the most widely researched model in the small-house nursing homes category: THE GREEN HOUSE®. Authors discuss how the Green House staffing model improves the quality of work life for staff and promotes positive outcomes for residents and whether any of these tactics can be adopted by nursing homes that are not yet able to change their housing structures.

LTSS Choices: International Review of Experts’ Recommendations for Reforming the Long-Term Services and Supports Workforce

This report describes the LTSS workforce in the Organisation for Economic Cooperation and Development (OECD), of which the United States is a member country. It reviews the challenges LTSS workers face, summarizes experts’ recommendations for reform, and offers examples from some OECD countries that are innovating to improve the situation for their LTSS workforce.

LTSS Choices: Promoting Choices through Restorative Services: International Innovations

This report highlights a multidisciplinary intervention that strengthens a person’s ability to function called restorative services (sometimes called reablement or restorative care). It explores the evidence of the impact of restorative services and reviews roughly 20 years of evidence related to the efficacy of these services by summarizing international and country-specific studies. It concludes with recommendations for policy makers.

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Family Caregiving

Caring Locally for Caregivers: How State and Local Laws Protect Family Caregivers from Discrimination at Work

Workplace discrimination against employees who care for adult family members, called Family Responsibilities Discrimination (FRD) or caregiver discrimination, is an escalating problem that can disadvantage employees and put employers at legal risk. This report details the ways in which state and local laws fill in the gaps left by federal law by prohibiting employment discrimination that occurs because of family caregiving.

Managing a Paid Job and Family Caregiving is a Growing Reality

The 2020 Caregiving in the U.S. report revealed an increase of more than 5 million employed family caregivers since 2015. This report takes a deeper look into the Caregiving in the US data at the nearly 30 million Americans who are caring for an ill friend or family member while also working at a paying job. It highlights the impacts and challenges of managing both responsibilities, and it identifies what’s changed since 2015.

Caregiving in the United States 2020

First conducted in 1997 by the National Alliance for Caregiving and AARP, Caregiving in the U.S. 2020 update presents a portrait of unpaid family caregivers. Family caregivers now encompass more than one in five Americans. The study also reveals that family caregivers are in worse health compared to five years ago. 

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Livable Communities

RideSheet: Rural Transportation Benefits from New Coordination Technology

This report offers a firsthand look at Lake County, Oregon’s experience using a new open-source software product called RideSheet to provide demand-responsive transportation. 

Older Adults, New Mobility, and Automated Vehicles

This report provides a framework for harnessing emerging technology for individual and societal benefits.

Which Older Adults Have Access to America's Most Livable Neighborhoods? An Analysis of AARP's Livability Index

This report combines what the Livability Index tells us about neighborhoods with what the American Community Survey tells us about who lives there. 

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Center to Champion Nursing in America

Transforming the Workforce to Provide Better Chronic Care

This series explores the evolution of primary care systems to better meet the needs of consumers with complex health conditions. It demonstrates that changes in the workforce are required to empower consumers to better manage their health.

Removing Barriers to Advanced Practice Registered Nurse Care: Hospital Privileges

Granting hospital privileges to nurse practitioners and other advanced practice registered nurses reduces costs, increases consumer choice, and improves healthcare quality.

Removing Barriers to Advanced Practice Registered Nurse Care: Home Health and Hospice Services

Allowing nurse practitioners and other advanced practice registered nurses to certify patients for Medicare coverage of home health services would increase access and efficiency.  

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