The federal government and the states should not accept accreditation by private bodies in lieu of federal or state licensing, certification, or enforcement of standards.
States considering payments to LTSS providers based on improved quality outcomes should rely on data from pilot projects developed with strong consumer participation.
States should ensure that facility-specific survey results and other information regarding quality are made available to the public in a timely manner.
More federal funding should be provided to the Administration for Community Living to develop and implement its emergency management responsibilities on behalf of older peo
Federal and state policymakers should support unbiased assessment of palliative care needs as well as improved access to palliative care services regardless of setting (e.g., nursing facility, resi
Federal and state governments should monitor compliance with the Nursing Home Reform Act and other laws and regulations affecting nursing facilities.
Budget-neutrality requirements should be eliminated for current and future Medicare and Medicaid demonstrations regarding care coordination and medical hom
Beneficiary and provider participation in chronic-care coordination programs and medical homes should be voluntary, should entail no additional cost to ben
A medical home should include voluntary patient selection of a primary provider or medical practice.