Monthly Archive (Generations)
As assisted living evolves, there are many challenges—from equitable access to remaining true to original design principles.
By Mauro Hernandez
Since the late 1980s, states have considered assisted living (AL) a key home- and community-based service (HCBS)... Read More
What lessons have been learned from this long-running demonstration program?
By Susan C. Reinhard
Almost fifty years ago, the United States created a new program known as Medicaid to support healthcare for people with very low incomes and assets. Because this healthcare ... Read More
Several unique house-call models prevent hospital admissions and save money when treating the chronically ill.
By Jennifer Hayashi and Bruce Leff
As the number of older Americans living with chronic illness and disability grows over the coming decades, the need for focused,... Read More
A first-person peek at state-level advocacy, from someone wedged between lobbyists and legislators.
By Herb Sanderson
Pushing a boulder uphill: that’s what it often feels like when advocating for improvements to long-term-care services and supports in the community at the... Read More
Bob Kafka is a disability activist and organizer for ADAPT, an advocacy organization for and by people of all ages and disability types. Long a person with quadriplegia, he is also older than sixty-five. Generations Guest Editor Rosalie Kane recently spoke with Kafka about his work and... Read More
Thirty Years of HCBS: Moving Care Closer to Home
Rosalie Kane, Guest Editor
It’s hard to believe Home- and Community-Based Services (HCBS) have been around for thirty years. Our Spring issue of Generations celebrates that milestone with an in-depth perspective, and is dedicated to Dick... Read More
Channeling points to a basic question about care: What is the best way to provide long-term services and supports for an aging America?
By Robert Applebaum
Despite long-standing concerns about quality, by the early 1970s, nursing homes had become the dominant mode of publicly funded... Read More
By Rosalie A. Kane
We are progressing to where the norm for long-term services
and supports is that they are based at home and in the
community—with nursing homes being the rare-choice alternative.
In 1982, the first Medicaid Home- and Community-Based Services (HCBS)... Read More
Webinar- Fight Back: NECC Cognitive Programs for Battling Alzheimer's Disease and Dementia Event Details