Expanding Access to Long-Term Supportive Services 

Altarum is implementing a new model of care for elders that ensures they receive the care they need to live comfortably at an affordable cost.

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As part of our MediCaring® Communities reform agenda, Altarum is working with PACE, the Program of All-Inclusive Care for the Elderly, in Ypsilanti, Michigan, to test reforms needed to expand this government program to a growing population of seniors who need a mix of geriatric care and long-term supportive services. Under current Medicare and Medicaid coverage, millions of older adults face multiple challenges in locating reliable, comprehensive services.

Our Approach

PACE is one of the most promising ways of expanding access to long-term supportive services to more elders, but administrative and structural reforms are needed to ensure it is affordable and accessible. This pilot project is testing some of those reforms, including a pricing structure that would allow many of the services to be obtained affordably through cost-sharing and savings arrangements involving the beneficiary, Medicaid and Medicare.


The project is an essential foundation for a new system of care that meets the needs of the country’s growing population of frail or disabled elders. As these efforts come to fruition, they will help lower the cost of long-term services and supports to individuals and to Medicaid, and enable more elderly persons to live at home longer.

Expanding Access to Long-Term Supportive Services  Contact

Contact Us

Joanne Lynn

Joanne Lynn  - MD

Director, Program to Improve Eldercare

Areas of Expertise
  • Eldercare and Advanced Illness
  • Long-Term Services and Supports
  • Medicare

As a geriatrician and a hospice physician, Dr. Joanne Lynn leads Altarum’s work on eldercare, focusing on new models to expand long-term services and supports (LTSS) to a greater share of the aging population. Joanne is the author of hundreds of journal articles and books on LTSS policy, including MediCaring Communities, a blueprint for setting up, delivering, and funding LTSS services nationwide.