An estimated 18 million people with disabilities living in the United States are eligible for federal housing assistance, but do not receive it. Due to low wages and lack of accessible housing options, renters with disabilities are often priced out of their local housing markets, or are moderately or severely cost-burdened if they do have housing. The Money Follows the Person (MFP) demonstration, administered by the Centers for Medicare & Medicaid Services (CMS), was established in 2005 to ensure people with disabilities who need long-term services and supports can receive them in the setting of their choice. The MFP Demonstration is intended to enable grantees—including 41 state and territory Medicaid offices—to experiment and evaluate how new ideas help people with disabilities move to, and remain in, their communities. This includes bolstering home- and community-based services and helping people who choose to move out of institutional settings to secure community-based housing.

美国医疗保健和医疗补助服务中心于2012年推出了为期4年的综合初级保健计划( CPC Classic )，并于2017年推出了为期5年的综合初级保健计划( CPC Plus，CPC + )，以测试是否在五个领域改善初级保健服务- -并提供财政和技术方面的实践。

具有复杂健康需求的老年人口数量不断增长，这一人群经历了不成比例的发病率和死亡率。

本研究引入了两种新的基于索赔的措施来评估患者在急性护理后的脆弱时期的护理质量。