A comparative analysis of medicaid long-term care policies and their effects on elderly dual enrollees

Health Economics

Volumn 18, Issue 3, 2009, Pages 275-290

  Rice, J Bradford ^a   Kasper, Judith D ^b   Pezzin, Liliana E ^c  

^a Boston University   (United States)

^b JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^c MEDICAL COLLEGE OF WISCONSIN   (United States)

Author keywords

Disability; Dual enrollees; Health policy; Long term care; Medicaid; Unmet needs

Indexed keywords

AGED; ARTICLE; COMMUNITY CARE; CONTROLLED STUDY; DAILY LIFE ACTIVITY; ECONOMIC EVALUATION; ELDERLY CARE; FEMALE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE NEED; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH SURVEY; HUMAN; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICARE; NURSING HOME; PRIORITY JOURNAL; UNITED STATES; CLASSIFICATION; COMPARATIVE STUDY; DISABLED PERSON; ECONOMICS; EVALUATION; HEALTH CARE QUALITY; LEGAL ASPECT; NEEDS ASSESSMENT; ORGANIZATION AND MANAGEMENT; STATISTICAL MODEL; STATISTICS; UTILIZATION REVIEW; VULNERABLE POPULATION;

ACTIVITIES OF DAILY LIVING; AGED; AGED, 80 AND OVER; DISABLED PERSONS; ELIGIBILITY DETERMINATION; FEMALE; HEALTH POLICY; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES FOR THE AGED; HUMANS; LONG-TERM CARE; MALE; MEDICAID; MEDICARE; MODELS, ECONOMIC; NEEDS ASSESSMENT; PROGRAM EVALUATION; STATE HEALTH PLANS; UNITED STATES; VULNERABLE POPULATIONS;

EID: 65349134762     PISSN: 10579230     EISSN: 10991050     Source Type: Journal    
DOI: 10.1002/hec.1367     Document Type: Article

References (35)

1. Aizer A. 2003. Low take-up in Medicaid: does outreach matter and for whom? American Economic Review 93(2): 238-241.
2. Allen SM, Mor V. 1997. The prevalence and consequences of unmet needs. Medical Care 35(11): 1132-1148.
3. Bruen BK, Wiener JM, Kim J, Miazad O. 1999. State usage of Medicaid coverage options for aged, blind, and disabled people. Urban Institute Working Paper 99-09, Washington, DC.
4. Burwell B, Sredl K, Eiken S. 2006. Medicaid Long-term Care Expenditures FY2005. (Available from: http://hcbs.org/files/94/4687/Memo.pdf [last viewed 26 November, 2007].)
5. Cutler DM, Gruber J. 1996. The effect of Medicaid expansions on public insurance, private insurance, and redistribution. American Economic Review 86(2): 378-383.
6. Eckert J, Morgan L, Swamy N. 2004. Preferences for receipt of care among community-dwelling adults. Journal of Aging & Social Policy 16(2): 49-65.
7. Ettner S. 1997. Medicaid participation among the eligible elderly. Journal of Policy Analysis and Management 16(2): 237-255.
8. GAO (General Accounting Office of US). 2002. Availability of Medicaid home and community services for elderly individuals varies considerably. Report.
9. Gertler PJ. 1992. Medicaid and the cost of improving access to nursing home care. Review of Economics and Statistics 74(2): 338-345.
10. Gruber J. 1997. Policy watch: Medicaid and uninsured women and children. The Journal of Economic Perspectives 11(4): 199-208.
11. Harrington C, Carrillo H, Welling V et al. 2000. 1915(c) Medicaid Home and Community-Based Waiver Participants, Services, and Expenditures, 1992-1998 Based on HCFA 372 form Data. University of California: San Francisco. (Available from: www.hcfa.gov [last viewed 26 November, 2007].)
12. He W, Schachter JP. 2003. Internal migration of the older population: 1995-2000. Census 2000 Special Reports. (Available from: www.census.gov/prod/2003pubs/censr-10.pdf [last viewed 26 November, 2007].)
13. Health Care Financing Administration (HCFA). 1997. A profile of dually eligible beneficiaries, prepared for the national association of state Medicaid directors.
14. Kasper J, Shore A, Penninx B. 2000. Caregiving arrangements of older disabled women, caregiving preferences, and views on adequacy of care. Aging (Milano) 12(2): 141-153.
15. Kassner E, Shirley L. 2000. Medicaid Financial Eligibility for Older People: State Variations in Access to Home and Community-Based Waiver and Nursing Home Services. AARP Public Policy Institute: Washington, DC.
16. Kemper P. 2003. Long-term care research and policy. The Gerontologist 43(4): 436-446.
17. Komisar HL, Feder J, Kasper JD. 2005. Unmet long-term care needs: an analysis of Medicare-Medicaid dual eligibles. Inquiry 42(2): 171-182.
18. LeBlanc A, Tonner C, Harrington C. 2000. Medicaid 1915(c) home and community-based services waivers across the states. Health Care Financing Review 22(2): 159-174.
19. Liu K, Long S, Aragon C. 1998. Does health status explain higher Medicare costs among Medicaid enrollees? Health Care Financing Review 20(2): 39-54.
20. Lutzky S, Alecxih LM, Duffy J, Neill C. 2000. Review of the Medicaid 1915(c) Home and Community-Based Services Waiver Program Literature and Program Data. Final Report to the Health Care Financing Administration. The Lewin Group: Washington, DC.
21. Mattimore TJ, Wenger NS, Desbiens NA, Teno JM, Hamel MB, Liu H, Califf R, Connors AF, Lynn J, Oye RK. 1997. Surrogate and physician understanding of patients' preferences for living permanently in a nursing home. Journal of American Geriatrics Society 45(7): 818-824.
22. McAuley WJ, Blieszner R. 1985. Selection of long-term care arrangements by older community residents. Gerontologist 25(2): 188-193.
23. Mollica R. 2001. Personal Care Services: A Comparison of Four States. AARP Public Policy Institute: Washington, DC.
24. Muramatsu N, Campbell RT. 2002. State expenditures on home and community based services and use of formal and informal personal assistance: a multilevel analysis. Journal of Health and Social Behavior 43: 107-124.
25. NGA (National Governors Association) 2005. Dual eligibles: making the case for federalization. Washington, DC, February.
26. Niefeld M, Kasper JD. 2005. Access to ambulatory medical and long-term care services among elderly Medicare and Medicaid beneficiaries: organizational, financial and geographic barriers. Medical Care Research and Review 62: 300-319.
27. O'Brien E. 2005. Long-Term Care: Understanding Medicaid's Role for the Elderly and Disabled. Kaiser Commission on Medicaid and the Uninsured. (Available from: http://www.kff.org/medicaid/7428.cfm [last viewed 26 November, 2007].)
28. Pezzin LE, Kasper JD. 2002. Medicaid enrollment among elderly medicare beneficiaries: individual determinants, effects of state policy, and impact on service use. Health Services Research 34(7): 861-882.
29. Public Policy Institute. 2000. Across the States: Profiles of Long-Term Care Systems. American Association of Retired Persons: Washington, DC.
30. Scanlon WJ. 1997. Medicare and Medicaid: meeting needs of dual eligibles raises difficult cost and care issues. Testimony, Special Committee on Aging: US Senate, April 29.
31. Schneider A, Fennel K, Keenan P. 1999. Medicaid eligibility for the elderly. Kaiser Commission on Medicaid and the Uninsured. (Available from: http://www.kff.org/medicaid/2145-index.cfm [last viewed 26 November, 2007].)
32. Sen B. 2003. A preliminary investigation of the effects of restrictions on Medicaid funding for abortions on female STD rates. Health Economics 12(6): 453-464.
33. Staiger D, Stock JH. 1997. Instrumental variables regression with weak instruments. Econometrica 65(3): 557-586.
34. Summer L. 2003. Choices and Consequences: The Availability of Community-Based Long-Term Services to the Low-Income Population. Prepared for the Georgetown University Long-term Care Financing Project. Georgetown University: Washington, DC. (Available from: http://ltc.georgetown.edu/pdfs/choicesfull.pdf [last viewed 26 November, 2007].)
35. Summer L, Ihara ES. 2005. The Medicaid Personal Care Services Benefit: Practices in States that Offer the Optional State Plan Benefit. AARP Public Policy Institute: Washington, DC.