Raising Expectations: A State Scorecard on Long-Term Services and Supports

Posted by Pam Blanton on October 24, 2011

From AARP, The Common Wealth Fund, and The SCAN Foundation

This State Long-Term Services and Supports Scorecard is the first of its kind: a multidimensional approach to measure state-level performance of long-term services and supports (LTSS) systems that provide assistance to older people and adults with disabilities.  Minnesota, Washington State, and Oregon ranked in the top 3.

The purpose of the State LTSS Scorecard is to inform efforts to improve state LTSS systems so people in all states are able to obtain affordable, high-quality, well-coordinated services, and family caregivers receive the support they need. The Scorecard is a resource that state policymakers, national leaders, and others can use to identify areas where improvement is needed, provide a baseline against which to measure efforts to improve performance, uncover gaps within the system, and highlight the need for better information across a broader range of services.

In general, the states at the very highest levels of performance have enacted public policies designed to:

• improve access to needed services and choice in their delivery by transforming their Medicaid programs to cover more of the population in need and offer the alternatives to nursing homes that most people prefer;

• facilitate access to information and services by developing effective “single point of entry” systems so that people who need services can find help easily; and

• address the needs of family caregivers by offering legal protections as well as the support and services that can help prevent burnout.

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