Skip to main content

Rural Health
Resources by Topic: Home and community-based services

Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies that states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings, and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide real-life examples of each strategy, and discusses rural-specific considerations throughout.
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Rural Long-Term Services and Supports: A Primer
Provides background information on rural long-term services and supports (LTSS), and examines rural access to and the use of LTSS. Describes LTSS as integral components of a high-performing rural health system, particularly for individuals with disabilities and/or over the age of 65. Three main sections discuss patterns of rural LTSS use, affordability and burden of LTSS, and rural LTSS models, policies, and trends.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad
Date: 11/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute
view details
No Wrong Door: Supporting Community Living for Veterans
Reports on several Veteran-Directed Home- and Community-Based Services (VD-HCBS) programs in 7 states. Presents a breakdown of each program and highlights challenges each program had to overcome. Bases analysis on 2 separate state surveys. Also includes tools useful to building collaborative partnerships between VA medical providers and aging and disability agencies in order to better serve veterans in their communities.
Author(s): Christina Neill Bowen, Wendy Fox-Grage, Kali Thomas, James Rudolph
Date: 11/2017
Type: Document
Sponsoring organization: AARP Public Policy Institute
view details
State of Care: Wisconsin's Home Care Landscape
Provides a snapshot of the home care landscape in Wisconsin. Includes information on the quality of care, workforce compensation, training, scope of practice, recruitment and retention, and unique challenges in rural areas. Includes statistics on home care workforce demographics in Wisconsin and at the national level, older adult population by county, and labor force participation and unemployment rates in Wisconsin by age, seduction, gender and family composition, and poverty.
Date: 09/2017
Type: Document
Sponsoring organization: Paraprofessional Healthcare Institute
view details
Aging in Place in Small Urban and Rural Communities
Examines the current state of aging in place, including cost benefits of rural residents living independently and using home health services and public transportation, rather than relocating to assisted living facilities. Includes statistics on costs of various types of senior living situations in North Carolina, Pennsylvania, Missouri, Wisconsin, Mississippi, Maine, New Mexico, and Montana, and aging in place cost savings forecasts for these states.
Additional links: Executive Summary
Author(s): Del Peterson, Ted Rieck
Date: 08/2017
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
view details
State of Care: Minnesota's Home Care Landscape
Provides a snapshot of the home care landscape in Minnesota. Includes information on the quality of care, workforce compensation, training, and unique challenges and changing demographics in rural areas. Includes statistics on home care workforce demographics in Minnesota and at the national level, and older adult population by county.
Date: 05/2017
Type: Document
Sponsoring organization: Paraprofessional Healthcare Institute
view details
Mental Health Services in Greater Minnesota
A discussion of mobile crisis teams in the treatment of and access to mental healthcare in rural Minnesota. Includes information about community-based services and barriers to care such as workforce shortages, variable population rates, and impacts on law enforcement officials. County-by-county data and statistics for the state are also provided.
Additional links: Fact Sheet
Date: 05/2017
Type: Document
Sponsoring organization: Center for Rural Policy and Development (Minnesota)
view details
Looking Ahead: Rural-Urban Differences in Anticipated Need for Aging-Related Assistance
Findings brief using information collected through the 2011-2012 National Health Interview Survey, describing the degree to which rural and urban adults ages 40-64 anticipate that they may need help later in life, and where they expect they will find it. Features statistics with breakdowns by race or ethnicity, urban or rural location, insurance status, overall health quality, amount of anticipated need for assistance, and reported activity limitations.
Additional links: Fact Sheet
Author(s): Janice C. Probst, Karen M. Jones
Date: 06/2016
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
view details
PACE Provides Much-Needed Rural Supports and Services for Older Adults
Describes advantages of PACE (Program of All-Inclusive Care for the Elderly), an interdisciplinary healthcare service designed to allow older residents of rural communities to remain in their homes as long as possible.
Author(s): Robert Greenwood, Samuel Kunjukunju
Date: 04/2016
Type: Document
Sponsoring organization: American Society on Aging
view details
Older Americans Act: Updated Information on Unmet Need for Services
Examines older adults' reported need for home and community-based services and the potential unmet need for these services. Includes metropolitan and non-metropolitan data on food insecurity and receipt of congregate and home-delivered meals.
Date: 06/2015
Type: Document
Sponsoring organization: Government Accountability Office
view details