Long Term Services and Supports

Those who use LTSS have diverse needs, ranging from frail elders with memory loss, to young adults adapting to an acquired disability, to children with disabilities from birth. This diverse population wants to choose where they live and where they receive services, and they want to choose who provides that care. Most want to receive these services in their homes and communities, and many want their families to be considered part of their provider team. At the same time, new technologies and service delivery reforms create more options for home- and community-based LTSS. Mathematica has been evaluating and informing the design of some of the most cutting-edge care delivery and financing innovations for supporting the elderly and people with disabilities. We gather and improve data on home- and community-based services and work with policymakers and practitioners to better understand the nature, scope, and cost of these services. Our teams combine a deep understanding of the history and current practices in LTSS with a vision—informed by data and evidence—about the opportunities for the future.