By NextBestFitTask 3.2.2 of 5
Standardized national needs assessment, performed by independent assessors (not providers).
Who does it
UHA / states
When
Year 2
Trade-off
Independent assessors reduce provider gaming but add an administrative layer.
Part of: Make home- and community-based care an entitlement
Long-term services at home stop depending on Medicaid's poverty rules and capped waivers. HCBS spending goes from $320.5B to $353.5B, home health from $169.4B to $204.5B, and nursing facilities from $219.9B to $225.7B.
This step changes 2 existing laws, programs, or institutions. See the list.