Two LeadingAge members -- Presbyterian Villages of Michigan and Williamsburg Landing -- are relying on help from partners to expand their offering of in-home services.

Presbyterian Villages: Home Health Joint Venture

Presbyterian Villages of Michigan (PVM), a LeadingAge member in Southfield, MI, has formed a joint venture with Homestead Home Health Care, Inc. 

The joint venture company will serve PVM residents as well as the older adults living in their own homes in an 8-county area. For the past 5 years, Homestead has been providing services to residents of The Village at Westland, a PVM community in Westland, MI.

The for-profit Homestead will be the new company’s general manager. A representative of PVM will chair the new venture’s governing board, according to Crain’s Detroit Business.

PVM operates 25 senior living communities across Michigan. In addition, it provides community-based health care and other services to older adults living near two PACE (Program of All-Inclusive Care for the Elderly) programs that PVM operates in partnership with Henry Ford Health System.

"We see this as an area of tremendous unmet needs," said PVM President and Chief Executive Officer (CEO) Roger Myers. "We know seniors by and large want to remain in their homes. We think through this joint venture we can meet part of that demand."

Williamsburg Landing: Home Health and Hospice

Williamsburg Landing, a LeadingAge member in Williamsburg, VA, will soon be operating its own home health and hospice program for Williamsburg Landing residents and older consumers living in the Williamsburg area.

The continuing care retirement community (CCRC) has chosen Senior Options, LLC to guide it through the expansion. Senior Options provides advisory services and operational support to senior living organizations. It is a subsidiary of Westminster-Canterbury on Chesapeake Bay, a LeadingAge member in Virginia Beach, VA.

“This is a great opportunity for our independently run retirement communities to work together to serve older adults at home,” said Steve Montgomery, president and CEO of Williamsburg Landing. “Williamsburg Landing’s strategy is to improve the continuum of care that our residents have access to and strengthen their ability to remain in their homes for as long as possible.”

Partnerships are not new to Williamsburg Landing, according to The Virginia Gazette. The CCRC is currently collaborating with Riverside Health System to launch a home-based continuing care program called “ChooseHome.”

Current federal law protects the financial interests of spouses of certain Medicaid beneficiaries by allowing the spouse of a nursing facility resident to keep a minimum share of the couple’s combined income and assets.

Section 2404 of the Patient Protection and Affordable Care Act (PPACA) addresses the institutional bias that applies these spousal protections only to nursing home residents by extending the protections to spouses of Medicaid beneficiaries who receive home and community-based services. 

On May 4, the National Council on Disability (NCD) released "Transportation Update: Where We’ve Gone and What We’ve Learned," a new report offering a comprehensive assessment of surface transportation for people with disabilities. 

The report is a follow-up to the NCD’s 2005 publication, “The Current State of Transportation for People with Disabilities in the United States,” which led, in part, to major improvements in accessible transportation.

The new report outlines both the progress made in the last decade and details the persistent barriers that remain. 

More people with disabilities are riding public transit than ever before and yet in many areas, significant barriers to ground transportation for Americans with disabilities remain pervasive.  

NCD’s report also makes recommendations to policymakers to address these barriers.

Key Transportation Findings 


  • Taxi Alternatives: Emerging transportation models like Uber, SideCar, and Lyft have vigorously resisted regulations typically imposed on the taxicab sector, harming the taxi industry and evading requirements that serve the public interest, including deficits in service to people with disabilities. Uber openly claims it is not covered by the ADA.
  • Fixed Route Buses: Ridership of fixed route bus transit and rail systems by people with disabilities has grown far faster than ridership on ADA para-transit.
  • Para-transit: There have been great gains in best practices in the areas of eligibility, telephone hold time, on-time performance, no-show policies, and origin-to-destination service, but they are often not implemented.
  • Rural Transportation: Minimal or non-existent transit service in rural and remote areas still creates serious barriers to employment, accessible health care, and full participation in society.
  • Rail Transit: Amtrak has lagged behind in meeting ADA requirements for its stations, platforms, train cars, reservations practices, and communications access.


The report noted that the states of Oregon, Iowa, and Maine provide examples of positive coordination of transportation programs for people with disabilities.  

Many cities still lack adequate wheelchair accessible taxi programs, despite progress in some locations, including Chicago, New York, and Rhode Island.


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