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State Long-Term Care Reform: Development of Community Care Systems in Six States Final Report

Publication Date
Mar 31, 1988

This study examined the approaches used in six states (Arkansas, Illinois, Maine, Maryland, Oregon and Wisconsin) to make their long-term care systems more responsive to the needs of older people. According to the study, each of the states was able to expand community-based care services without generating runaway costs in total long-term care spending. Experiences in these states also demonstrated that some aspects of community care systems can be tightly structured and uniform state-wide, without compromising the flexibility necessary for responding to individual service needs. Non-medical supportive services were also found to form the core of state long-term care programs. [167 PDF pages]

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State Data