NCSL's Fall Forum: Achieving Cost-Savings and Better Outcomes in Long-Term Care Services and Supports

Tuesday, Dec. 4, 2012 | Wednesday, Dec. 5, 2012

 To view PDF files, use or install Adobe Acrobat Reader. 

Tuesday, Dec. 4, 2012

Dinner and Plenary: Women and Long-Term Care
Women in America provide the majority of long-term care services—paid and unpaid. Women also live longer, have higher rates of disability and chronic health problems, and lower incomes. So who cares for the caregivers once they are in need? Listen to a discussion of the role of women in long-term care services and supports.

• Alina Salganicoff, vice president and director of Women’s Health Policy, Kaiser Family Foundation - "Powerpoint" (PDF file-14 pages)
• Randi Chapman, director, State Affairs, Alzheimer’s Association - "Powerpoint" (PDF file-6 pages)

Wednesday, Dec. 5, 2012

The State of the States—An Overview of Long-Term Care
According to AARP, the age 85 and older population—the age group most likely to need long-term care services and supports (LTCSS)—is growing at a dramatic rate. Medicaid is the primary payer for nearly 4 million individuals, or 6 percent of the Medicaid population, the bulk of which goes to nursing homes. This session will provide a snapshot of the current state of LTSS in the states.

• Susan C. Reinhard, RN, Ph.D., FAAN- senior vice president and director, AARP Public Policy Institute; chief strategist, Center to Champion Nursing in America - "Powerpoint" (PDF file-11 pages)

Rebalancing of Medicaid Long-Term Care Services and Supports
States are increasingly shifting Medicaid spending on LTCSS from costly institutions to more home and community-based services, a process known as rebalancing. Find out about challenges and opportunities facing state legislatures looking to rebalance LTCSS offered in their states.

• Sarah Barth, JD- senior program officer, Center for Health Care Strategies - "Powerpoint" (PDF file-10 pages)

• Donna Folkemer, director of LTCSS Policy and Research, The Hilltop Institute - "Powerpoint" (PDF file-7 pages)

Panel Discussion: Coordinating Care For Dual-Eligibles
Around nine million people qualify for LTCSS benefits under both Medicare and Medicaid. These people are commonly referred to as “Dual-Eligibles.” Hear from a panel of experts about how states and the federal government are working to better coordinate care for these individuals.

• Tim Engelhardt, director of the Models, Demonstrations and Analysis Group, Medicare-Medicaid Coordination Office, Centers for Medicare and Medicaid Services
• Alice R. Lind, RN, MPH- senior clinical officer and director, Long Term Supports and Services, Center for Health Care Strategies - "Powerpoint" (PDF file-10 pages)

Panel Discussion: Models Of Success—Tools for Sustainable Cost-Savings and Improved Outcomes in Long-Term Services and Supports
With 80 million baby-boomers now reaching retirement age, states are focusing more than ever on their long-term care systems. Hear from leading experts about the direction states are taking to improve outcomes and reduce costs for this important population. 

• Martha Roherty, executive director, National Association of States United for Aging and Disabilities
• Shawn Martin,  managing principal analyst for Health and Human Services, California Legislative Analyst’s Office - "Handout" (PDF file-36 pages)
• Delegate Don Perdue - co-chair, NCSL Health Committee; chair, Health and Human Resources Committee, West Virginia House of Delegates
• Representative Elaine Harvey - chair, Labor, Health and Social Service Committee, Wyoming House of Representatives - "Powerpoint" (PDF file-6 pages)

Wrap-up and Evaluations

Meeting Adjourns