State policies vary widely on paying friends and family rather than home care agencies to
care for the elderly. We explore two state programs that exemplify different payment options …

As the articles in this issue by Rose and colleagues and Kunkel and Lackmeyer explain,
there are multiple federal and state funding streams for HCBS, and the aging network has …

The idea of giving compensation to family members who care for health-impaired elderly
relatives is viewed with ambivalence by policymakers. If pay were given to such caretakers …

This study assesses the policy implications of consumer-directed home and community
services for older persons by examining the experiences of public programs that serve this …

Although Congress has rejected the concept of mandatory cost-sharing under the Older
Americans Act, many states already use client fee systems under state-funded home and …

This study assesses consumer-directed home and community services for older persons by
examining public programs that serve this population in eight states. These programs give …

Policy Points: Policies that cut or restrict formal long‐term services and supports for older
adults can either push caregivers to provide uncompensated care or leave older adults with …

Purpose: Little is known about whether an association exists between agency ownership
and length of service among home care patients with different payment sources. This study …

Abstract Purpose of the Study: Medicaid service use and expenditure and quality of care
outcomes in California's personal care program known as In-Home Supportive Service …