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Access to community-based long-term care: Medicaid's role
Nancy A Miller1, Charlene Harrington, Elizabeth Goldstein
1University of Maryland, Baltimore County, USA.
Journal of Aging and Health
|March 15, 2002
Summary
State spending on Medicaid community-based care varied significantly from 1990-1997. Factors like income and nursing home regulations influenced these expenditures, highlighting areas for policy intervention.
Area of Science:
- Health Services Research
- Public Health Policy
- Healthcare Economics
Background:
- Medicaid community-based care services are crucial for long-term care.
- Understanding state-level expenditure variations is key to effective policy.
Purpose of the Study:
- To analyze state variations in Medicaid community-based care expenditures between 1990 and 1997.
- To identify factors influencing these expenditures.
Main Methods:
- Employed a random effects panel model.
- Examined demographic, supply, economic, programmatic, and political factors.
Main Results:
- Significant state-level variation in expenditures was observed.
- Expenditures positively correlated with per capita income, nursing home bed supply regulation, and Medicare home health users.
- Expenditures negatively correlated with overall nursing home bed supply.
Conclusions:
- Policy interventions are needed to expand Medicaid community-based care, aligning with legal trends and patient preferences.
- State fiscal resources and long-term care supply regulation are key policy levers.