State Medicaid Financing and Access to Large Assisted Living Settings for Medicare-Medicaid Dual-Eligibles

被引：21
|
作者：
Fabius, Chanee D. [1 ,2 ]
Cornell, Portia Y. [2 ]
Zhang, Wenhan [2 ]
Thomas, Kali S. [2 ]
机构：
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA
[2] Brown Univ, Sch Publ Hlth, Providence, RI 02912 USA
来源：
MEDICAL CARE RESEARCH AND REVIEW | 2022年 / 79卷 / 01期
关键词：
assisted living; long-term services and supports; Medicaid waiver; dual-eligibles; residential care;
D O I：
10.1177/1077558720987666
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Assisted living has become more widely used by dual-eligible Medicare beneficiaries as states try to rebalance their long-term services and supports away from institutional (nursing home) care. In an analysis of 2014 Medicare data for 506,193 adults who live in large (25+ beds) assisted living communities, we found wide variability among states in the share of assisted living residents who were dual-eligible, ranging from 6% in New Hampshire to over 40% in New York. This variation is strongly correlated with the Medicaid support for assisted living care: In states with a Medicaid state plan option covering services in assisted living or both a state plan and waiver, the percent of assisted living residents with dual-eligibility was more than 10 percentage points higher than in states with neither a state plan nor waiver. Findings provide a basis for understanding the role of Medicaid financing in access to assisted living for duals.
引用
收藏
页码：69 / 77
页数：9
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