Archived Publications

Most of us will need long-term services and supports (LTSS), either for ourselves or for our family members. However, most of us do not know about our options and how to pay for these services. That is why the LTSS State Scorecard—created by the AARP Public Policy Institute and funded by the Scan Foundation and the Commonwealth Fund—ranks states on their aging and disability resource centers. These centers are an important feature of a high-performing LTSS system.

Unnecessary and avoidable care transitions, which occur when people are moved from one care setting to another, can result in adverse outcomes, especially among older adults and people with multiple chronic condition. The 2014 State Scorecard on Long-Term Services and Supports is excellent tool for measuring state progress in care transitions.

This report presents the findings from a case study of Connecticut, which is a high-performing state undertaking a systematic effort to shift its reliance on nursing homes to the use of more home- and community-based services. The study was conducted following the release of the 2014 State Long-Term Services and Supports Scorecard 1 to understand factors that lead to improved performance on measures of long-term services and supports (LTSS) for older adults and people with physical disabilities. 

This case study of Mississippi was conducted following the release of the 2014 State Scorecard on Long-Term Services and Supports to understand factors that lead to improved performance on measures of long-term services and supports (LTSS) for older adults and people with physical disabilities.

This exploratory study looks at the relationship between caregiving and well-being. The analysis finds that caregivers, particularly women, were more likely to experience stress and worry than non-caregivers, and less likely to feel as if they had enough time and were well-rested. The paper presents findings and issues for future research.

The affordability of private pay services is an important component of long-term services and supports system performance. This Insight on the Issues presents data on private pay affordability for every state and more than 400 markets in the United States.

This Insight on the Issues explores eldercare and the workplace. It highlights the realities of changing demographics and issues affecting working caregivers of older adults. It defines family responsibilities discrimination (FRD), explains why FRD is a policy matter, and describes the types of workplace discrimination encountered by working caregivers.

This Fact Sheet highlights issues affecting working caregivers of older adults.

This Fact Sheet defines caregiver assessment, which is a systematic process of gathering information about a caregiving situation to identify problems and resources. Effectively assessing and addressing caregiver needs can maintain the health and well-being of caregivers, sustain their ability to provide care, prevent or postpone nursing home placement, and produce better outcomes for the care recipient. (July 2012)

This case study looks at Georgia, which—like most southern states—ranked in the lowest quartile of state LTSS performance.

This case study looks at Idaho, which scored in the upper-middle range of overall LTSS performance. 

This case study looks at Minnesota, which ranked first overall in the nation for long-term services and supports.