AARP: New Long-Term Services and Supports State Scorecard, Fifth Edition

LTSS Choices AARP 2023 Scorecard

AARP Public Policy Institute has released the fifth edition of the Long-Term Services and Supports State Scorecard and LTSS Choices, a multifaceted project and online resource to catalyze the transformation of the nation’s long-term care system for older adults and people with disabilities.

"LTSS State Scorecard: Innovation and Opportunity, 2023 Edition," includes a series of 50 indicators focused on: 1) affordability and access; 2) choice of setting and provider, including PACE Enrollment; 3) safety and quality; 4) support for family caregivers; and 5) community integration, including the presence of Age-Friendly Health Systems. The scorecard uses data from a variety of publicly available sources, such as the Centers for Medicaid and Medicare Services, American Community Survey, and Bureau of Labor Statistics.

More than three years after the COVID-19 pandemic began, the Scorecard finds that care provided in the US for older adults and people with disabilities is painfully inadequate. Major gaps persist in every state, especially related to support for family caregivers, the long-term care workforce, equity in nursing homes and emergency preparedness. The report offers key recommendations to strengthen support for long-term care and aging at home.

Updates to the Scorecard include Innovation Points, a new way to track leading-edge policies that positively impact LTSS state systems. This edition also delves into new focus areas regarding equity, workforce, and the impact of Covid-19, and can be used to assess areas of strength and improvement for states' LTSS systems.

The Scorecard is used by state and federal policy makers, providers, advocates and other stakeholders to analyze LTSS systems at state levels. The new LTSS Choices website features reports, blogs, videos, podcasts and other resources to showcase innovative models and evidence-based solutions.

The Scorecard is made possible by a grant from AARP Foundation, with support from The SCAN Foundation, The Commonwealth Fund and The John A. Hartford Foundation, and has been updated every three years since 2011.

Read the press release.
Go to the 2023 Scorecard report.
Learn more about the 2023 Scorecard.
Go to the Scorecard report PDF.
Go to the Scorecard executive summary.
Go to the Scorecard appendices.
Go to the Scorecard Dimensions and Indicators.

Go to the LTSS Choices website.
Learn more about JAHF's co-support of the LTSS Scorecard.