Symposia & Meetings
June 2009 Symposium
Home and Community-Based Services: Examining the Evidence Base for State Policymakers
A one-day symposium convened on Thursday, June 11, 2009
The Hilltop Institute sponsored its sixth day-long symposium at which national experts discussed the measures and evidence to examine whether the expansion of home and community-based services (HCBS) has produced desired outcomes (quality, choice, cost, satisfaction, and safety) in the long term for older adults and persons with physical disabilities. This symposium moved beyond widespread praise for HCBS in order to assess the breadth and depth of evidence that HCBS is effective. For all supporters of HCBS, this type of clear-eyed focus is necessary to confront the reality that HCBS continues to be underfunded (relative to institutional care), at least in part, because many state policymakers remain unconvinced that the evidence base exists to support further transformative state investments in broad rebalancing efforts. The day was divided into four sessions and highlighted by a keynote address, a luncheon address, and concluding reflections. More than 130 policymakers, health services researchers, and health care practitioners from across the country participated in the event.