Designing Nimble Leadership Models For Financial Sustainability: The Acenda Case Study is starting in

Environmental Scan of Instruments to Inform Consumer Choice in Assisted Living Facilities

December 2006 Environmental Scan of Instruments to Inform Consumer Choice in Assisted Living Facilities Assisted living continues to emerge as a major source of housing for the growing elderly population. Several factors will augment this trend, including the New Freedom Initiative Medicaid Demonstration Act of 2003, response to the 1999 Olmstead v. Supreme Court decision, the rebalancing demonstrations from institutions to home- and community-based sciences, and Medicaid cost containment strategies that are aimed at reducing nursing home use. Assisted living definitions vary, but fundamental to this long-term care setting is a philosophy of independence, with an emphasis on . . .

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