As the US population ages, the demand for long-term care options has grown. Special focus has been on Medicaid programs, which pay for most long-term services and supports (LTSS). As public policy has shifted LTSS from institutional settings to home- and community-based settings, questions arise regarding how Medicaid agencies measure the quality of home- and community-based services (HCBS), how they pay for them, and how to encourage more cost-effective services. A new report from the Milbank Memorial Fund discusses these questions.

The report can be obtained at https://www.milbank.org/wp-content/uploads/2018/06/MMF-HCBS-Report-FINAL.pdf.