J Gerontol Nurs. 2020 Jun 1;46(6):7-11. doi: 10.3928/00989134-20200511-01.
More and more states are addressing the long-term services and supports needs of Medicaid only and dually eligible persons by developing Managed Long-Term Services and Supports (MLTSS) programs. States are moving away from fee-for-service plans and coordinating care through these capitated programs. The goals of these programs include greater efficiency while maintaining quality and better coordination of care. For dually eligible persons, the expansion of MLTSS has been made possible through the creation of the Medicare-Medicaid Coordination Office at the Centers for Medicare & Medicaid Services by the Affordable Care Act to improve communication and coordination between state and federal programs. MLTSS invest heavily into home and community-based services and care coordination to increase the efficiency of their organizations and improve person-centered care. Nurses who engage with this vulnerable population are in a prime position to further innovate this model to improve person and family outcomes. [Journal of Gerontological Nursing, 46(6), 7-11.].
越来越多的州正在通过开发管理式长期服务和支持 (MLTSS) 计划来满足 Medicaid 计划和双重资格人群的长期服务和支持需求。各州正在逐步淘汰按服务收费的计划，并通过这些包干计划来协调护理。这些计划的目标包括在保持质量的同时提高效率，以及更好地协调护理。对于双重资格人群，《平价医疗法案》通过在医疗保险和医疗补助服务中心设立医疗保险-医疗补助协调办公室，使 MLTSS 得以扩大，以改善州和联邦计划之间的沟通和协调。MLTSS 大力投资于家庭和社区为基础的服务和护理协调，以提高其组织的效率，并改善以患者为中心的护理。与这一弱势群体接触的护士处于进一步创新这一模式的有利位置，以改善患者和家庭的结果。[老年护理杂志，46(6)，7-11.]。
