No. 70September 14, 2026

A Study Examined Nursing Homes in Six States

A multistate MLTSS study shows nursing-home changes consistent with diversion. An AARP review shows why a home option also needs local capacity and financing.

2 developments · 3 cited sources

The question

When long-term care shifts away from nursing homes, how can a state tell whether a family gained usable care at home?

Background

A six-state study found nursing-home payer and staffing changes after mandatory MLTSS, while AARP’s review identifies operating conditions for community-based care models.

The read

The two sources support a bounded read: nursing-home measures consistent with diversion cannot show by themselves whether a family gained usable care at home, because the AARP review identifies local delivery and financing conditions needed to replicate community models.

What happens next

Will state Medicaid agencies and the profiled community programs publish measures of who receives services, their costs, and family caregiving work?

What could change this read

Participant-level evidence that MLTSS gave Medicaid beneficiaries timely home-based services and reduced family workload or costs, or that the profiled models close the access gap without these conditions, would materially change the read.

Developments in this issue

01Research
The 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.
Thread · 3 signals since July 8
Previously
England Asks the Public Who Should Pay for Elder Care
Joan Costa-Font of LSE calls integration of health and long-term care systems inevitable
Today
The proportion of Medicaid residents in nursing homes significantly decreased.
Watch
Will state Medicaid agencies publish measures showing whether beneficiaries have usable community services after mandatory statewide MLTSS implementation?
02Policy
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.
Thread · 4 signals since July 23
Previously
Families treat home care as the permanent plan, A Place for Mom survey finds
In four New Brunswick communities, long-term care facilities extended services beyond their walls
A Medicare Bill Links Home-Care Coverage and Worker Pay
Today
Six Domains Communities Can Use to Support Model Replicability
Watch
Will the profiled community programs publish measures of service capacity, cost, and family-caregiver use?

Reference paths

01GiveCare WikiCaregiver guides and research notes, with sources.02GiveCare BenefitsSource-backed benefit records and program search.03GiveCare ScoreA short check of caregiver burden, with how it is scored.04InvisibleBenchCare AI benchmark method and findings.05GiveCareGiveCare for organizations.

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