An Investigation of Interstate Variation in Medicaid Long-Term Care Use and Expenditures Across 40 States in 2006

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Article Publication Date: 
Shifting the balance in publicly-funded long-term care provision away from institutional care toward greater reliance on home and community-based services has been a federal goal for the past three decades -- a goal often referred to as "re-balancing" state LTC systems. This report explores inter-state variations in LTC expenditure and service use patterns, in terms of institutional and non-institutional services, and also by Medicaid LTC users' age and type of disability.
Article Author: 
Wenzlow, Audra; Borck, Rosemary; Miller, Dean; Doty, Pamela; Drabek, John
re-balancing; policy variables; home and community-based services; Medicaid Analytic eXtract; Programs of All-Inclusive Care for the Elderly; Supplemental Security Insurance; licensing; performance measures; institutional services; non-institutional services; interstate differences; environmental factors; state resources; home health aides


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