Culturally Competent Long-Term Services and Supports (LTSS)

Long-term services and supports (LTSS) are critically important care for the many dually eligible beneficiaries who need help with routine activities. Individuals from racial and ethnic minority groups often experience disparities in access, quality, and outcomes in LTSS, such as higher rates of rehospitalization when they receive home health care[1] and lower quality of care in nursing homes[2]. These resources highlight strategies for providers and plans to ensure LTSS meet beneficiaries’ cultural and linguistic needs and preferences. 

building a Culturally competent Direct Care Workforce

Direct care workers provide critical services to many dually eligible beneficiaries, assisting with bathing, eating, dressing, and other daily tasks. Explore these resources to learn more about supporting a diverse direct care workforce that can meet the cultural needs and preferences of dually eligible beneficiaries.

References
[1] Office of the Assistant Secretary for Planning and Evaluation. (2016). Report to Congress: Social Risk Factors and Performance under Medicare's Value Based Purchasing Programs. Retrieved from https://aspe.hhs.gov/system/files/pdf/253971/ASPESESRTCfull.pdf
[2] Campbell, L. J., Cai, X., Gao, S., & Li, Y. (2016). Racial/Ethnic Disparities in Nursing Home Quality of Life Deficiencies, 2001 to 2011. Gerontology and Geriatric Medicine, 2, 23337214166653561. https://journals.sagepub.com/doi/10.1177/2333721416653561
 
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