Provider consumers with more control over service provision. Improve accountability mechanisms for consumer protections and expenditures. Address workforce problems across all LTC services. Eliminate fragmentation of services. Relax certain regulatory constraints to allow for the development of additional community-based services.
Counties Consider consumer choice models.
Increase access to Assisted Living for the poor, but provide such consumers with some protections. Provide greater flexibility of funding to support greater control and creativity at the local level. Address workforce problems. Health Plans Determine whether or not to truly integrate the full spectrum of services from acute care through long term care. Ensure the capability of nursing facility staff to deliver skilled care and to work on care improvement.