Drill into performance indicators for a single state or compare  performance and rankings on measures of long-term services and supports across states.

View by State:

Compare Across States:

About the Authors

Susan Reinhard, R.N., Ph.D., is a senior vice president at AARP, directing its Public Policy Institute (PPI), the focal point for public policy research and analysis at the state, federal, and international levels. She also serves as the chief strategist for the Center to Champion Nursing in America, a national resource center created to ensure that America has the highly skilled nurses it needs to provide care in the future.

Susan is a nationally recognized expert in health and long-term care policy, family caregiving, and nursing with extensive experience in conducting, directing, and translating research into action to promote policy change. She is the national leader in highlighting the medical/nursing tasks that family caregivers are expected to perform, conducting the ground breaking Home Alone research, working to translate that research into policy through the Caregiver, Advise, Record, Enable (CARE) Act, and then forming the Home Alone Alliance. Previously she served as professor and co-director of Rutgers Center for State Health Policy, where she directed several national initiatives with states to help people of all ages with disabilities live in their communities.

As deputy commissioner of the New Jersey Department of Health and Senior Services, Susan led the development of policies and nationally recognized programs for family caregiving, consumer choice, and community-based care options. She is a former faculty member at the Rutgers College of Nursing, and fellow in the American Academy of Nursing, Gerontological Society of America, Salzburg Global Forum, and the National Academy of Social Insurance. She holds many governance positions, including on the boards of the Leapfrog Group, National Alliance for Caregiving, National Academy for State Health Policy, and RWJ Barnabas Health. Susan has received many honors, including the Family Caregiver Alliance Leadership Award, the Dick Ladd Award for Improving Long-Term and Community Care from the Jessie F. Richardson Foundation, the Health Policy and Legislation Award from New York University, and the Public Policy Pioneer Award from the Assisted Living Federation of America. She holds a master’s degree in nursing from the University of Cincinnati and a PhD in Sociology from Rutgers, The State University of New Jersey.

Jean Accius, Ph.D., is the Vice-President of the Long Term Services & Supports (LTSS) and Livable Communities Group within the AARP PPI. In this capacity, he leads the development of policies, research reports and forums in the areas of LTSS and livable communities to influence the marketplace of ideas. He brings a wealth of experience having worked across public, nonprofit and private industry to improve the financing and delivery of LTSS.

Prior to this appointment, he served as a Senior Policy Advisor within the Disabled and Elderly Health Programs Group at the Centers for Medicare & Medicaid Services. In that role, he implemented, directed and monitored national grant programs and projects designed to support and improve the delivery of LTSS within and across States.  Jean also led a team in exploring potential implications for creating a seamless experience through benefit design and a path to affordable coverage by 2014 between Medicaid, CHIP, the Exchanges and Basic Health Programs for the aged, blind and disabled populations. 

Dr. Accius sits on the Generations Editorial Advisory Committee for the American Society on Aging. He is an elected member of the National Academy of Social Insurance and also serves on the Boards for Justice in Aging, American Society on Aging and the Florida State University Alumni Association.  He holds a master's degree in aging studies from the Claude Pepper Institute at Florida State University, and a Ph.D, in Public Administration from American University. 

Ari Houser, M.A., is the Senior Quantitative Methods Advisor for the AARP PPI, as part of the LTSS and Livable Communities Group. His work focuses on trends in demographics, disability, family caregiving, and the use of formal LTSS services. He has been the lead data analyst for the 2011, 2014, and 2017 State LTSS Scorecards, as well as for the AARP PPI’s Across the States and Valuing the Invaluable series of publications on LTSS and family caregiving, and provides methodological and statistical assistance throughout PPI.

Prior to joining the AARP Public Policy Institute, Mr. Houser worked at the RAND Corporation on a variety of topics, including housing innovation and occupational health and safety management. He has a bachelor’s degree from Swarthmore College and a master’s degree in measurement, statistics, and evaluation from the University of Maryland. 

Kathleen Ujvari, M.B.A., M.H.S.M., is the Senior Strategic Policy Advisor for the AARP PPI. Her work includes research and analysis of state-level and national data on LTSS to identify issues, trends, and opportunities to improve access, delivery, quality, and program funding. Kathleen is coauthor of a number of publications that address LTSS, long-term care insurance, the role of states in supporting family caregivers, and economic studies that report on LTSS programs and financing.

Kathleen has extensive experience in root-cause analysis, project management, and project implementation from her previous career as a financial services industry consultant and financial regulatory auditor. She holds a master’s in business administration from Northeastern University and a master’s degree in health systems management from George Mason University.

Julia Alexis, B.S.F.S., is the Vice President of Strategic Initiatives for the AARP PPI. She oversees the development and management of the AARP Public Policy Institute’s (PPI) strategic programs and operations as vice president of strategic initiatives. In her current role, she develops programs that support AARP’s strategic efforts while working closely with major foundations, external entities, and coalitions. Julia integrates and manages projects that cut across all key focus areas of PPI as she collaborates with her colleagues and their teams.

Wendy-Fox Grage, M.S., M.P.A., is the Senior Strategic Policy Advisor for the AARP PPI. Her areas of focus are state LTSS reforms, Medicaid-managed LTSS, and home- and community based services. Before coming to AARP, Wendy worked for the National Conference of State Legislatures for nearly 10 years, where she advised state legislators and legislative staff on issues related to long-term services and supports.

Wendy started her career in public policy as a congressional intern with the US Senate Special Committee on Aging. She holds a master of science in gerontology and a master of public administration from the University of Southern California’s Andrus Gerontology Center. She has a bachelor of science from Northwestern University.