Do noninstitutional long-term care services reduce medicaid spending?

Health Affairs

Volumn 28, Issue 1, 2009, Pages 262-272

  Kaye, H Stephen ^a   LaPlante, Mitchell P ^a   Harrington, Charlene ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMMUNITY CARE; COST CONTROL; DISABILITY; HEALTH CARE COST; HEALTH CENTER; HEALTH PROGRAM; HEALTH SERVICE; HOME CARE; HUMAN; LONG TERM CARE; MEDICAID; POPULATION RESEARCH;

COMMUNITY HEALTH SERVICES; COST SAVINGS; HOME CARE SERVICES; HUMANS; LONG-TERM CARE; MEDICAID; UNITED STATES;

EID: 59449106453     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.28.1.262     Document Type: Article

References (16)

1. Olmstead v. L.C., 527 U.S. 581 (1999).
2. H.S. Kaye et al., "The Personal Assistance Workforce: Trends in Supply and Demand," Health Affairs 25, no. 4 (2006): 1113-1120.
3. B. Burwell, K. Sredl, and S. Eiken, Medicaid Long Term Care Expenditures in FY 2005 (Cambridge, Mass.: Medstat, 2006).
4. B. Burwell, Medicaid Long Term Care Expenditures in FY 2000 (Cambridge, Mass.: Medstat, 2001).
5. American Health Care Association, Research Highlights: Medicaid-Financed Home and Community-Based Services Research - A Synthesis (Washington: AHCA, 2007).
6. L.M.B. Alecxih et al., Estimated Cost Savings from the Use of Home and Community-Based Alternatives to Nursing Facility Care in Three States (Washington: AARP Public Policy Institute, 1996).
7. M. Kitchener et al., "Institutional and Community-Based Long-Term Care: A Comparative Estimate of Public Costs," Journal of Health and Social Policy 22, no. 2 (2006): 31-50.
8. For a recent review of this literature, see D.C. Grabowski, "The Cost-Effectiveness of Noninstitutional Long-Term Care Services: Review and Synthesis of the Most Recent Evidence," Medical Care Research and Review 63, no. 1 (2006): 3-28.
9. Burwell et al., Medicaid Long Term Care Expenditures in FY 2005; and prior reports in the series, all available from the HCBS home page, http://www.hcbs.org.
10. S. Eiken, B. Burwell, and B. Selig, Medicaid HCBS Waiver Expenditures, FY 2000 through FY 2005 (Cambridge, Mass.: Medstat, 2006); and prior reports in the series.
11. Estimates for 2000-05 were obtained from U.S. Census Bureau, 2006 Population Estimates, http://factfinder.census.gov (accessed 12 July 2007); estimates for 1995-99 were obtained from U.S. Census Bureau, Statistical Abstract of the United States: 2000 (Washington: U.S. Census Bureau, 2000).
12. U.S. Bureau of Labor Statistics, Consumer Price Index - All Urban Consumers: U.S. Medical Care Services, http://data.bls.gov/cgi-bin/ surveymost?cu (accessed 15 October 2008).
13. R.L. Kane et al., "Variation in State Spending for Long-Term Care: Factors Associated with More Balanced Systems," Journal of Health Politics, Policy and Law 23, no. 2 (1998): 363-390;
14. and N.A. Miller et al., "State Policy Choices and Medicaid Long-Term Care Expenditures," Research on Aging 24, no. 4 (2002): 413-444.
15. Miller et al., "State Policy Choices."
16. M.P. LaPlante, H.S. Kaye, and C. Harrington, "Estimating the Expense of a Mandatory Home- and Community-Based Personal Assistance Services Benefit under Medicaid," Journal of Aging and Social Policy 19, no. 3 (2007): 47-64.