As a vital health care safety net program, Medicaid pays for over 40 percent of the nation’s long-term care costs, making it a major source of financing for long-term care services. The long-term care population–about six percent of the Medicaid enrollees—accounts for almost half of total Medicaid program spending. Furthermore, the demand for Medicaid long-term care is expected to swell as the baby boomers age and states increasingly focus on delivering patient-centered services and supports. These trends will continue to put pressure on states to implement more effective and efficient programs to deliver appropriate and timely care to members.
NAMD supports measures that lead to more sustainable, quality-driven solutions to meet the diverse long-term care needs of our citizens’ across the continuum of care. Several states have long histories and valuable experiences operating managed long-term services and supports programs. Their experience demonstrates that managed care can be an effective tool to improve quality, control costs, and drive a member-centered approach to services and desired outcomes.
Based on the lessons learned from those states, NAMD has developed guiding principles and recommendations for federal policymakers to consider in creating a framework for states seeking to design, implement, and administer managed long-term services and supports programs. A strong and effective federal-state partnership with clearly aligned goals is critical to the success of these efforts.