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State home and community-based services for the aged under Medicaid
1Intergovernmental Health Policy Project, Washington, DC.
Caring : National Association for Home Care Magazine
|May 9, 1991
Summary
Expansion of home and community-based services for the elderly is slow due to limited public financing. Policymakers and advocates aim for a comprehensive long-term care system, but progress remains inhibited.
Area of Science:
- Gerontology
- Public Health Policy
- Healthcare Systems
Background:
- Home and community-based services (HCBS) for the elderly are a recognized need.
- Development of comprehensive alternative long-term care systems has been slow.
- Limited public financing hinders the expansion of HCBS.
Purpose of the Study:
- To analyze the factors contributing to the slow evolution of alternative long-term care systems.
- To examine the impact of public financing on the expansion of HCBS for the elderly.
Main Methods:
- Policy analysis of long-term care systems.
- Review of public financing mechanisms for elder care services.
Main Results:
- The expansion of HCBS for the elderly has been a long-standing policy objective.
- Progress in developing comprehensive alternative long-term care systems has been notably slow.
- Insufficient public financing is a significant barrier to the growth of HCBS.
Conclusions:
- Addressing the limited public financing is crucial for advancing HCBS.
- Policy interventions are needed to accelerate the development of comprehensive long-term care alternatives.
- Overcoming financial barriers is key to meeting the growing demand for elder care services.