This National Academy for State Health Policy (NASHP) brief outlines policy changes in the Patient Protection and Affordable Care Act related to the continuum of care for older people— specifically long term services and supports and chronic care coordination.

From the report:

The Community Living Assistance Services and Supports (CLASS) Act creates a new federally administered, voluntary insurance program financed by individual enrollees. Unlike the modest incremental Medicaid long term services and supports provisions adopted as part of health care reform, this program establishes a completely new public-private approach to financing and accessing LTSS. Program premiums will be fully paid for by individual workers through payroll deductions. To promote a high rate of program participation, individuals whose employers agree to participate in premium withholding will automatically be enrolled, while retaining the right to opt-out of the program at any time. Alternative methods for making premium payments will be established for persons working for non-participating employers.

Full briefing:  Long Term Services and Supports and Chronic Care Coordination Enacted by the Patient Protection and Affordable Care Act (PDF | 152.81 KB)