Skip to content
GiveCare

Pulse development · 2 cited sources · September 14, 2026

Six Domains Communities Can Use to Support Model Replicability

AARP and ATI Advisory identify six conditions that communities need to replicate care models for older adults aging in place.

On Aug. 10, U.S. Rep. Debbie Dingell, D-Mich., and U.S. Sen. Andy Kim, D-N.J., introduced companion bills for the Medicare At Home Act. If passed, it would add a home care benefit to Medicare Part B, cover home care services up to 20 hours a week, and direct HHS to issue regulations within one year of enactment. AARP Public Policy Institute and ATI Advisory offer a different operational baseline. It profiles programs in Arizona, North Dakota, and Texas. The report says older adults can fall between unaffordable private-pay long-term care and Medicaid coverage they do not qualify for, increasing reliance on family caregivers. A benefit proposal or local model therefore needs evidence that financing and delivery reach households.

Evidence

Each statement shown below is a verified claim this source supports.

01
Building Community-Based Care ModelsAdditional source · aarp.org · Sep 11
  • AARP Public Policy Institute and ATI Advisory identify six replication domains: a focused service model, workforce and delivery capacity, operational infrastructure, sustainable funding, trusted community relationships, and local fit.
  • AARP Public Policy Institute and ATI Advisory identify six domains communities can use to support model replicability: a focused service model, workforce and delivery capacity, operational infrastructure, sustainable funding, trusted community relationships, and local fit.
  • The AARP Public Policy Institute and ATI Advisory report profiles three community-based care programs in Arizona, North Dakota, and Texas.
  • AARP Public Policy Institute and ATI Advisory say many older adults fall between private-pay long-term care they cannot afford and Medicaid coverage they do not qualify for.
  • AARP Public Policy Institute and ATI Advisory say that this gap often increases reliance on family caregivers.
02
Lawmakers Introduce Bill To Add Home Care Benefit To Medicare   - Home Health Care NewsAdditional source · homehealthcarenews.com · Aug 17
  • On Aug. 10, U.S. Rep. Debbie Dingell, D-Mich., and U.S. Sen. Andy Kim, D-N.J., introduced companion bills.
  • If passed, the Medicare At Home Act would add a home care benefit to Medicare Part B.
  • The proposed Medicare home care benefit would cover services up to 20 hours a week.
  • The bill would direct HHS to issue regulations within one year of enactment.

Developments in this issue

01The proportion of Medicaid residents in nursing homes significantly decreased.A six-state study found nursing-home changes after mandatory MLTSS, while an AARP review identifies what community care needs to work locally.
← Back to the issue