AARP's Long-Term Services and Supports (LTSS) 2023 State Scorecard Report was just released and reveals significant gaps in the care provided to older adults and individuals with disabilities in the United States. Although there has been some overall progress compared to the 2020 update, every state still has areas that require improvement.
The 2023 Scorecard reveals that over half of Medicaid LTSS spending for older individuals and adults with physical disabilities went to Home and Community-Based Services (HCBS) at a rate of 53% in FY 2020. Additionally, 12 states now prioritize HCBS in their Medicaid LTSS funding, up from seven states in 2009.
The 2023 Scorecard updated the vision of high-performing LTSS systems, which includes five elements: Affordability and Access, Choice of Setting and Provider, Safety and Quality, Support for Family Caregivers and Community Integration. The Support for Family Caregivers element shows the most consistency from the previous 2020 Scorecard. States that already have policies that support family caregivers in place do not need to change but rather maintain their policy framework. As a result, the pace of change between 2020 and 2023 was slow, which illustrates that states have many opportunities for further action in this area.
The scorecard was co-funded by The AARP Foundation, The Commonwealth Fund, The John A. Hartford Foundation, and The SCAN Foundation and offers a comprehensive assessment of how state LTSS systems are performing.
For more information on the LTSS 2023 State Scorecard Report, click here.