The long-term services and supports (LTSS) market has not changed much until very recently. The market serves nine million Americans who have some type of functional limitations and chronic illnesses – whether young or elderly. The services include supportive home care, community-based support services, and long-term care institutions like nursing homes and intermediate care facilities. Spending in the market is about the same as spending for behavioral health market (together the two market sectors are about 15% of total health care spending). But macro-environmental changes and legal issues have brought more attention to LTSS. The first of . . .