UNDERSTANDING LTC
Areas of Expertise.

Our expertise delivers policy analysis and development, program and product development using applied research, strategic planning and product implementation and evaluation. To develop and market innovation in public policy, we employ intellectual, political and organizational resources to forge new products and courses of action for government.

To ensure quality, we work with our clients to define a work scope for requirements and goals for each assignment that we undertake. Our research efforts have yielded many important deliverables:

  • Reports including "Long Term Care: A Conceptual Framework," "Population Groups Needing Long-Term Care" and "Current Management on Long-term Care Service Delivery & Financing Options"

  • White papers including "Basic Case Management Model," "Prior Authorization Model," "Volunteerism and Self-Help Models – Long Term Care Insurance & Financing Long Term Care"

  • Analysis of Oklahoma’s Medicaid long term care system needs and recommendations for reform

  • Public policy meetings including conferences of Members, advocates, community leaders, and representatives of state agencies empowered with designing a long term care system to meet the needs of Oklahomans. An outcome: the 75-page document entitled, "Conceptual Foundations for a Long-Term Care Service Delivery System" was completed by LTCA and approved by all participants.

Policy Analysis: Converting data into action.

Problem: Double digit cost increases coupled with decreasing state tax revenues were spotlighting Oklahoma’s Medicaid long term care costs. Oklahoma was over-utilizing nursing home care compared to the rest of the nation, adding 3,500 Oklahomans to nursing homes each year. To engage the debate and to initiate real change in Oklahoma’s long term care infrastructure, policy makers needed:

  • Access to easy-to-use information resources that were factual and reliable

  • Explanations and feasibilities of alternatives

  • Analyses of costs and effectiveness of alternatives

Solution: LTCA developed a network of professionals from state and local governments, academia and nationally recognized experts in long term care. Comprehensive and detailed analyses of other states’ systems and successes in improving quality of long term care while reducing cost were conducted and evaluated. A knowledge base of effective long term care policy was developed which could be tapped for concise and readily accessible information.

Results: LTCA produced a number of tools for policy decision makers to review and use to reshape public policy including:

  • Mini-reports: "Medicaid Long Term Care Reform," "Benefits of a Public Trust Authority Management of a Long Term Care System."

  • Fact Sheets: "Oklahoma’s Medicaid Long Term Care Policy Promotes the Use of Costly Institutional Care," "Long Term Care Services, Case Studies from Missouri Care Options."

  • Handbook: "Development of Statewide Home and Community-Based Services – Policy Development and Cost Analysis."