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CT21 State Long Term Care System



Earlier this year, CERC conducted an economic analysis and presented its research findings on Connecticut’s long term care system to various General Assembly Committees in connection with their examination of care options for the state’s aging population.

CERC was commissioned by the Connecticut Institute for the 21st Century (CT21) to provide an independent, nonpartisan update to their 2010 report entitled “Assessment of Connecticut’s Long Term Care System,” which examined the state of the system and made certain recommendations. The report concluded that economic and demographic conditions over the preceding years resulted in an increased need for long term care services and recommended pursuing cost-saving options for long term care services and supports (LTSS) in home- and community- based settings (HCBS) in lieu of traditional nursing home or institutional care.

To help CT21 provide an update since the 2010 report, CERC researchers interviewed government and nonprofit stakeholders and reviewed relevant literature. CERC’s findings indicated that the state had made steady progress and outlined best practices from other states, including the need for pursuing federal funding, further rebalancing, consolidating state LTSS-related functions, simplifying Medicaid, and easing LTSS access. In addition, CERC’s research provided CT21 with data to recommend adding LTSS to all state planning functions such as transportation and housing, increasing the LTSS workforce, expanding LTSS public awareness, and centralizing various LTSS administrative data and functions.

The final report noted that many of CT21’s recommendations could be implemented without legislative changes, however legislators should continue to endorse policies favoring greater utilization of home- and community- based settings.