A report by the National Academy for State Health Policy (NASHP) examines the initiatives in the Patient Protection and Affordable Care Act that enhance long term services and supports (LTSS) and improve coordination of primary and chronic care for the elderly and adults with disabilities.  The report finds that the Act’s provisions establish delivery systems demonstrations and Medicaid options that the states can adopt to implement state reform.  The report analyzes the provisions regarding: national voluntary long-term care insurance; Medicaid options and incentives for financing LTSS expansions; other LTSS provisions; the coordination of primary and chronic care; and nursing home reform.

From the report:

The Patient Protection and Affordable Care Act (PPACA) signed into law on March 23, 2010 includes provisions that affect practically every aspect of the country’s health care system. This report focuses on policy changes related to the continuum of care for older people—specifically long term services and supports (LTSS) and chronic care coordination. For this analysis, the Act’s major provisions in these areas are organized into five categories: 1) national insurance for long term services and supports; 2) Medicaid options and incentives to expand LTSS; 3) other LTSS provisions; 4) chronic care coordination; and 5) nursing home reforms.

Full report:  Long Term Services and Supports and Chronic Care Coordination under Health Care Reform and States Options (PDF | 152.81 KB)

National Academy for State Health Policy. (2010). Long term services and supports and chronic care coordination: policy advances enacted by the Patient Protection and Affordable Care Act. Justice, D.