States of Reform

2016 ◽  
Vol 48 (4) ◽  
pp. 246-258 ◽  
Author(s):  
Phillip M. Singer
Keyword(s):  
Logistic Regression ◽  
Political Polarization ◽  
State Budgets ◽  
Services And Supports

A growing percentage of state budgets has been focused on caring for individuals who receive long-term services and supports (LTSS). States have an important tool to reduce the costs of caring for individuals with LTSS, Medicaid Section 1915(c) waivers. Using logistic regression, whether and when a state decides to apply for a waiver during the years 1993–2014 is tested. Wealthier, larger states are more likely to apply for waivers, while previous waiver applications are related to fewer applications. The role of political polarization within the legislature has mixed results on whether a state decides to apply for a waiver.

scholarly journals Financing Long-Term Services and Supports: Opportunities for Overcoming Historical Roadblocks to Reform

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 717-717
Author(s):  
Edward Miller ◽  
Pamela Nadash ◽  
Marc Cohen
Keyword(s):  
Affordable Care Act ◽  
Policy Development ◽  
State Level ◽  
Government Action ◽  
Policy Window ◽  
Adoption And Implementation ◽  
Opportunities For Learning ◽  
State Budgets ◽  
Services And Supports

Abstract This presentation documents the continuing failure to tackle the problem of financing long-term services and supports (LTSS)—a failure most recently seen in the only national legislation ever enacted to comprehensively address LTSS costs: the Community Living Assistance Services and Supports (CLASS) Act. The CLASS Act was included in the Affordable Care Act, but was repealed in 2013. Subsequently, policy experts and some Democrats have made proposals for addressing the LTSS financing crisis. Moreover, significant government action is taking place at the state level, both to relieve financial and emotional burdens on LTSS recipients and their families and to ease pressure on state budgets. Lessons from these initiatives could serve as opportunities for learning how to overcome roadblocks to successful policy development, adoption, and implementation across states and for traversing the policy and political tradeoffs should a policy window open once again for addressing the problem of LTSS financing nationally.

Privatized Democracy: The Role of Election Services Vendors in the United States

2020 ◽  
Vol 48 (6) ◽  
pp. 705-708 ◽  
Author(s):  
Nadine Suzanne Gibson
Keyword(s):  
United States ◽  
Logistic Regression ◽  
The United States ◽  
Minority Population ◽  
County Level ◽  
Regression Analyses ◽  
Purchasing Decisions ◽  
Term Maintenance

Election equipment in the United States is exclusively purchased from private-sector vendors. When a jurisdiction purchases voting equipment, it is actually purchasing the hardware and software along with a variety of services for the initial implementation and long-term maintenance and support of the system. Election services constitute roughly one third of county-level election expenditures. The results of logistic regression analyses estimating the likelihoods of county purchases of different election services from election services vendors suggest a relationship between purchasing decisions and county demographics, namely the size of the minority population. Localities in states with centralized contracting systems were also substantially more likely to purchase all forms of vendor services.

The Emerging Role of Managed Care in Long-Term Services and Supports

2018 ◽  
Vol 28 (2) ◽  
pp. 64-70 ◽  
Author(s):  
Nancy D Archibald ◽  
Alexandra M Kruse ◽  
Stephen A Somers
Keyword(s):  
Managed Care ◽  
Services And Supports

Opportunities in the Affordable Care Act to Advance Long-Term Services and Supports: The Role of Rehabilitation Counseling

2012 ◽  
Vol 26 (1) ◽  
pp. 55-66
Author(s):  
Caldwell Joe ◽  
J. Alston Reginald
Keyword(s):  
Affordable Care Act ◽  
Rehabilitation Counseling ◽  
Rehabilitation Counselors ◽  
Term Care ◽  
Persons With Disabilities ◽  
Long Term Care Insurance ◽  
The Affordable Care Act ◽  
Services And Supports

The Affordable Care Act includes many new provisions for long-term services and supports (LTSS). Among these are several new options, improvements, and incentives within Medicaid to balance service systems and expand access to home and community-based services. In addition, the Affordable Care Act authorizes the establishment of a new voluntary national long-term care insurance program, the Community Living Assistance Services and Supports (CLASS) Program. This article discusses some of the major provisions and implementation. It also examines how the major principles of rehabilitation counseling are central to advancing LTSS policy and how rehabilitation counselors can play a key role in ensuring quality LTSS services for persons with disabilities.

Abusive head trauma (AHT) outcome at long-term follow-up and the role of elective neurosurgical approach: A report of 22 cases

2013 ◽  
Author(s):  
Francesca Menegazzo ◽  
Melissa Rosa Rizzotto ◽  
Martina Bua ◽  
Luisa Pinello ◽  
Elisabetta Tono ◽  
...  
Keyword(s):  
Head Trauma ◽  
Abusive Head Trauma ◽  
Long Term Follow Up
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