Improving Home and Community-Based Services Cost Assessment for Underrepresented Groups of Older Adults

Since the 1999 passage of the Olmsted Act, the movement of institutional services to noninstitutional settings created interest in home and community-based services (HCBS). HCBS, as a type of long-term services and support (LTSS), provides older adults long-term skilled care in community-based settings. Although researchers note advances in policies, they predicted early on “given the demographic challenges of the future, the road forward may be even more difficult than the path already travelled” for LTSS programs.