Aging & Disability
Aging and disability programs provide a wide range of health and social services and supports needed by people who are limited in their capacity for self-care due to physical, cognitive, or mental disabilities. Programs aim to help older people and individuals with disabilities live independently for as long as possible, with access to quality health care and long-term services and supports to manage their conditions.
Supportive care for persons with disabilities is provided in institutional, residential, and home- and community-based settings. The majority of care at home is provided informally by family and friends, who most often give care without compensation. A wide range of formal care providers supplement these caregivers. The Medicaid program accounts for nearly two-thirds of all national spending for long-term services and supports. In addition, the Older Americans Act, through the aging services network, provides a range of services to help older people remain independent in their homes.
The Forum's work on aging and disability focused on delivery and financing of long-term services and supports, as well as chronic care management, for the vulnerable elderly and people with disabilities.
Medicaid Payment for Housing-Related Services: Building on Early Experiences
Forum Session
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February 26, 2016
Geriatric-Friendly Emergency Departments: Better Options for Patients and Providers?
Forum Session
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February 19, 2016
Hospital Discharge Planning in Medicare: Current Requirements and Proposed Changes
The Basics
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February 9, 2016
Accountable Care Organizations (ACOs): Lessons from the Medicare Shared Savings Program
Forum Session
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November 13, 2015
Aging in America: Current and Future Trends in Health, Income, Assets and Personal Health Care Spending
Fundamentals Briefing
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November 6, 2015
Coordinating Care for Beneficiaries Eligible for Both Medicare and Medicaid: An Update on the "Duals Demos"
Forum Session
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October 30, 2015
Improving the Quality and Efficiency of Care for Older Adults: Lessons From the Field
Forum Session
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September 18, 2015
Site-Neutral Payments for Post-Acute and Ambulatory Care Services: What’s at Stake?
Forum Session
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June 5, 2015
Annual Report 2014
Annual Report
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April 1, 2015
Pioneer ACOs: The Frontier of Delivery System Reform?
Forum Session
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June 13, 2014
Coordinating Chronic Care: Will New Incentives Spur Primary Care-Specialist Collaboration?
Forum Session
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June 6, 2014
Transforming Payment and Health Care Delivery: Early Reports from the State Innovation Model (SIM) Initiative
Forum Session
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April 18, 2014
Annual Report 2013
Annual Report
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April 1, 2014
National Spending for Long-Term Services and Supports (LTSS), 2012
The Basics
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March 27, 2014
Sorting Out the Complex World of Medicare Post-Acute Care
Forum Session
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March 18, 2014
Management of Chronic Care Needs: What Will It Really Take to Coordinate Care?
Forum Session
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March 14, 2014
Money Follows the Person (MFP) Rebalancing Demonstration: A Work in Progress
Background Paper
No. 85
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February 21, 2014
Medicaid Health Homes: Delivery System Glue for People with Chronic Health Conditions
Forum Session
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December 13, 2013
CMS-State Demonstration for Medicare-Medicaid Beneficiaries: Implementing the Financial Alignment Initiative
Forum Session
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December 6, 2013
Medicaid Home- and Community-Based Services Programs Enacted by the ACA: Expanding Opportunities One Step at a Time
Background Paper
No. 86
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November 19, 2013
The Commission on Long-Term Care: Background Behind the Mission
The Basics
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October 17, 2013
State Progress in Implementation of Home- and Community-Based Service Programs Enacted by the ACA
Forum Session
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September 27, 2013
Transforming Behavioral Health Practice, Payment, and Policy: Too Fast, Too Slow, or Just Right?
Forum Session
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September 20, 2013
Restructuring Medicare Cost Sharing: Exploring Options to Protect Low-Income Beneficiaries
Forum Session
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August 2, 2013
State Variation in Long-Term Services and Supports: Location, Location, Location
Forum Session
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July 19, 2013
The Affordable Care Act and HIV/AIDS: Implications for Coverage, Access to Care, and Payment
Forum Session
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July 19, 2013
EMS "Hot Spotting": San Diego's Experience Creating a System of Care for Frequent Users of Emergency Medical Services
Forum Session
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June 14, 2013
Health Policy Essentials: Aging in America: Trends in Income, Health, and Personal Health Care Spending
Fundamentals Briefing
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April 12, 2013
Annual Report 2012
Annual Report
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April 1, 2013
Pursuing High-Quality Care for an Aging Population: Challenges and Opportunities
Forum Session
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March 29, 2013
Health Policy Essentials: Medicaid, CHIP, and Long-Term Services and Supports (LTSS)
Fundamentals Briefing
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March 15, 2013
Assisted Living: Facilities, Financing, and Oversight
The Basics
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January 29, 2013
Family Caregivers: The Primary Providers of Assistance to People with Functional Limitations and Chronic Impairments
Background Paper
No. 84
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January 11, 2013
The Community Living Assistance Services and Supports (CLASS) Act: Major Legislative Provisions
The Basics
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January 3, 2013
Assisted Living Facilities and Their Growing Role in Long-Term Services and Supports (LTSS)
Forum Session
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November 30, 2012
Breaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery
Forum Session
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October 19, 2012
Medicaid Managed Long-Term Services and Supports (MMLTSS): Lessons from Three States
Forum Session
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October 5, 2012
Is Health Care Eating Our Lunch? The Impact of Cost Trends on Workers and Retirees
Forum Session
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July 20, 2012
Medicaid Managed Long-Term Services and Supports (MMLTSS): Increasing State Interest and Implications for Consumers, Quality of Care, Providers, and Costs
Forum Session
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May 11, 2012
Long-Term Services and Supports (LTSS): Arlington County's Integrated Approach
Site Visit
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April 13, 2012
Targeting High-Cost Medicare Beneficiaries to Improve Care and Reduce Spending: Finding the Bull’s-Eye
Forum Session
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March 9, 2012
Older Americans Act of 1965: Programs and Funding
The Basics
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February 23, 2012
Improving Care for Dual Eligible Medicare-Medicaid Beneficiaries: One Size Does Not Fit All
Forum Session
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January 27, 2012
The Aging Services Network: Serving a Vulnerable and Growing Elderly Population in Tough Economic Times
Background Paper
No. 83
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December 13, 2011
Mission Possible? Saving on Health Care Costs by Reducing Unnecessary Services
Forum Session
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December 2, 2011
Preventing Hospital Readmissions: How Can Care Transitions for Medicare Beneficiaries Be Improved?
Forum Session
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October 28, 2011
Revisiting Financing and Delivery of Care to Duals: One Size May Not Fit All
Special Briefing
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October 21, 2011
Aligning Graduate Medical Education with Public Policy
Background Paper
No. 82
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September 14, 2011
Medical Care for the Elderly Living at Home: Home-Based Primary Care (HBPC) and Hospital-at-Home Programs
Forum Session
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July 22, 2011
Rocky Mountain Highs and Lows: Efforts to Improve Health and Reduce Costs in Denver
Site Visit
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May 31–June 2, 2011
Boomers and the Budget: Implications of an Aging Society
Forum Session
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May 13, 2011
Managed Care for Medicaid Beneficiaries with Disabilities: How Does It Work?
Forum Session
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May 6, 2011
Private Long-Term Care Insurance: Where Is the Market Heading?
Forum Session
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April 15, 2011
Health Policy Essentials: The Fundamentals of Long-Term Services and Supports
Fundamentals Briefing
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April 1, 2011
Caring for Patients with Advanced and Serious Illnesses: Changing Medical Practice and Patient Expectations
Forum Session
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March 18, 2011
The Elder Justice Act: Addressing Elder Abuse, Neglect, and Exploitation
The Basics
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November 30, 2010
Aging and Disability Resource Centers (ADRCs): Federal and State Efforts to Guide Consumers Through the Long-Term Services and Supports Maze
Background Paper
No. 81
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November 19, 2010
Focus on Reform: Medicaid Long-Term Services and Supports (LTSS) Provisions in PPACA
Forum Session
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October 29, 2010
Medicare and Medicaid Dual Eligibles: Meeting Diverse, Complex, and Costly Needs
Forum Session
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July 23, 2010
Focus on Reform: Long-Term Services and Supports (LTSS) and the CLASS Act
Forum Session
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June 18, 2010
Transforming Health Care Delivery: Insights from the New Orleans Safety Net
Forum Session
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April 16, 2010
The State Health Insurance Assistance Program (SHIP)
The Basics
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March 29, 2010
Ensuring Nursing Home Quality: Continuing Challenges to Oversight and Enforcement of Nursing Home Reform
Forum Session
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March 25, 2010
The Role of Ombudsmen in Assuring Quality for Residents of Long-Term Care Facilities: Straining to Make Ends Meet
Background Paper
No. 71
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December 2, 2009
Linking Housing and Supportive Services for the Frail Elderly: Challenges and Opportunities
Forum Session
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October 23, 2009
Lessons in Patient Engagement: Motivating Patients to Manage Their Chronic Conditions and Health Care Utilization
Forum Session
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October 2, 2009
High Rehospitalization Rates: Causes, Costs, and Accountability
Forum Session
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May 29, 2009
Resilience and Renaissance: Efforts to Rebuild a Healthier New Orleans
Site Visit
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May 26–28, 2009
Coordinating Care for People with Multiple Chronic Conditions: The Guided Care Model and Other Innovative Approaches
Site Visit
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April 17 & August 7, 2009
Promising Models of Care Coordination for Adults with Multiple Chronic Conditions: Getting Closer to the Holy Grail?
Forum Session
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April 3, 2009
Coordinating Care for Adults with Multiple Chronic Conditions: Searching for the Holy Grail
Forum Session
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March 27, 2009
Long-Term Services and Supports: Consumers in Charge—Consumer Direction and Money Follows the Person
Forum Session
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November 7, 2008
Community-Based Long-Term Care in Milwaukee: Wisconsin Still Ahead
Site Visit
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August 11–13, 2008
Medicare's Hospice Benefit: In the Spotlight
Forum Session
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August 1, 2008
Medicare Demonstrations
The Basics
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July 30, 2008
Medicaid and SCHIP Waivers
The Basics
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July 30, 2008
Shaping Medicaid and SCHIP through Waivers: The Fundamentals
Background Paper
No. 64
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July 22, 2008
The Fundamentals of Medicare Demonstrations
Background Paper
No. 63
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July 22, 2008
Policies for an Aging America: Looking Beyond the Averages
Forum Session
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May 9, 2008
State Long-Term Care Strategies: Approaches to Managing Care and Controlling Costs
Forum Session
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April 25, 2008
The Aging Services Network: Accomplishments and Challenges in Serving a Growing Elderly Population
Background Paper
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April 11, 2008
Running Up the Health Care Tab: Will We Have Buyer's Remorse?
Forum Session
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January 17, 2008
Children's Behavioral Health Services in Baltimore: Walking the Continuum
Site Visit
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September 30–October 1, 2007
Informal Care of the Frail Elderly: Policy and Practices to Support Family Caregivers
Forum Session
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September 21, 2007
Community-Based Long-Term Care: Wisconsin Stays Ahead
Site Visit
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August 8–10, 2007
Trading Places: Real Choice Systems Change Grants and the Movement to Community-Based Long-Term Care Supports
Issue Brief
No. 822
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May 30, 2007
Fairfax County's Commitment: A Housing and Health Continuum for Seniors
Site Visit
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March 2, 2007
Rebalancing Long-Term Care: The Role of the Medicaid HCBS Waiver Program
Background Paper
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March 3, 2006
Financing Health Care in Retirement: A Day Late and a Dollar Short?
Forum Session
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February 24, 2006
Health Benefits in Retirement: Set for Extinction?
Background Paper
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February 8, 2006
Understanding the Role of Medicaid in Assisting People with Disabilities
Forum Session
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July 22, 2005
Financing Long-Term Care: Will Insurance Make the Difference?
Forum Session
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October 22, 2004
The Promise and the Reality of Long-Term Care Insurance
Background Paper
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July 31, 2004
Medicare's Chronic Care Improvement Pilot Program: What Is Its Potential?
Issue Brief
No. 797
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May 10, 2004
Veterans' Health Care: Balancing Resources and Responsibilities
Issue Brief
No. 796
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April 1, 2004
Expanding Community-Based Care: Is the Olmstead Decision Making a Difference?
Forum Session
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November 25, 2003
Bridging Silos, Part I: Linkages among the DI, SSI, Medicare, and Medicaid Programs
Background Paper
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November 14, 2003
Bridging Silos, Part II: DI, SSI, Medicare, and Medicaid Issues and Initiatives
Background Paper
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November 14, 2003
Dually Eligible for Medicare and Medicaid: Two for One or Double Jeopardy?
Forum Session
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October 22, 2003
Dually Eligible for Medicare and Medicaid: Two for One or Double Jeopardy?
Issue Brief
No. 794
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September 30, 2003
Depression in Primary Care: Making Good Care Good Business
Forum Session
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June 6, 2003
Medicare and Chronic Conditions: Breaking Down Barriers to Better Care
Forum Session
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March 26, 2003
Is Community Care a Civil Right? The Unfolding Saga of the Olmstead Decision
Background Paper
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March 12, 2003
The Medicare and Medicaid Intersection: Caring for Arizona's Seniors
Site Visit
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November 12–14, 2002
Prescription Drugs in Nursing Homes: Managing Costs and Quality in a Complex Environment
Issue Brief
No. 784
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November 12, 2002
Too Few? Too Many? The Right Kind? Physician Supply in an Aging and Multicultural Society
Forum Session
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September 10, 2002
Managing Advanced Illness: A Quality and Cost Challenge to Medicare, Medicaid, and Private Insurers
Forum Session
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July 18, 2002
Modernizing Medicare: The Homebound Rule and Next Steps
Small-Group Session
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July 10, 2002
Managing Advanced Illness: A Quality and Cost Challenge to Medicare, Medicaid, and Private Insurers
Issue Brief
No. 779
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June 20, 2002
Consumer Direction in Long-Term Care: Implications for Caregivers
Forum Session
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April 12, 2002
Transitions along the Continuum of Care: Elderly and Disabled Persons in New York
Site Visit
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March 4–5, 2002
Who Will Be There to Care? The Growing Gap between Caregiver Supply and Demand
Background Paper
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January 23, 2002
State-Based Pharmaceutical Assistance Programs: Temporary Fix or Lessons for Medicare?
Issue Brief
No. 762
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April 25, 2001
State-Based Pharmaceutical Assistance Programs: Temporary Fix or Lessons for Medicare?
Forum Session
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April 25, 2001
Health Coverage Transitions for Young Adults with Disabilities
Small-Group Session
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March 28, 2001
Caring for the Elderly: Oregon's Pioneers (Portland, Oregon)
Site Visit
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November 13–15, 2000
Site Visit to Arizona — Managed Medicaid: Arizona's AHCCCS Experience
Site Visit
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January 11–14, 2000
Implementing the BBA: The Challenge of Moving Medicare Post-Acute Services to PPS
Issue Brief
No. 743
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July 7, 1999
Implementing the BBA: The Challenge of Moving Medicare Post-Acute Services to PPS
Forum Session
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July 7, 1999
Examining the Links between Retirement and Health Insurance: Implications for Medicare Eligibility
Issue Brief
No. 733
—
March 24, 1999
Examining the Links between Retirement and Health Insurance: Implications for Medicare Eligibility
Forum Session
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March 24, 1999
Filling the Geriatric Gap: Is the Health System Prepared for an Aging Population?
Issue Brief
No. 729
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January 25, 1999
Filling the Geriatric Gap: Is the Health System Prepared for an Aging Population?
Forum Session
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January 25, 1999
Communicating to Beneficiaries about Medicare+Choice: Opportunities and Pitfalls
Forum Session
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July 24, 1998
Restructuring the VA Health Care System: Safety Net, Training, and Other Considerations
Issue Brief
No. 716
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March 25, 1998
Restructuring the VA Health Care System: Safety Net, Training, and Other Considerations
Forum Session
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March 25, 1998
