title: Coordination, choice, and value in long-term care.
abstract: Systemic problems in the nation's long-term care system result in high-cost, low-quality care in most states. Consumers must exhaust their savings to become eligible for long-term care coverage through Medicaid, get lost in a maze of fragmented systems funded by different sources, and often are institutionalized unnecessarily.  Several states have developed new models to provide long-term care that is better coordinated and includes more social supports.  As these examples show, it pays to invest in home and community-based care systems and to help those systems connect to medically based networks.
authors.forename: J
authors.initials: J
authors.lastname: Mallozzi
mesh_terms: D006699:Home Care Services; D006801:Humans; D007353:Insurance, Long-Term Care; D008134:Long-Term Care; D008484:Medicaid; D006278:Medicare; D008910:Minnesota; D009922:Oregon; D013221:State Health Plans