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Most families never run the actual numbers before deciding a home modification is "too expensive." New Cost of Care data puts a real dollar figure next to the alternative: $74,400 a year for assisted living, well over $100,000 for a nursing home room. Once that number is on the table, the modification budget looks different.

ASTHO's new report on rural falls prevention shows what happens when states stop treating clinical screening and community programs as separate systems. Iowa and Oklahoma both closed that gap, and the results are a direct lesson for OTs and community partners.