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Related Experiment Videos

Strategies to support HCBS.

Pamela Nadash, Joann Ahrens

    Policy Brief (Center for Home Care Policy and Research (U.S.))
    |October 7, 2005
    PubMed
    Summary
    This summary is machine-generated.

    States are increasing spending on home- and community-based services (HCBS) over institutional care. Research highlights Medicaid waivers and Medicare home health services as key to expanding HCBS access.

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    Area of Science:

    • Health Services Research
    • Public Policy
    • Gerontology

    Background:

    • States are shifting long-term care (LTC) funding towards home- and community-based services (HCBS).
    • Variability exists in state success in promoting HCBS.
    • Understanding effective strategies is crucial for policymakers.

    Purpose of the Study:

    • To review strategies states employ to promote HCBS.
    • To summarize research on the effectiveness of these strategies.
    • To identify factors influencing HCBS access, revenue, and institutionalization.

    Main Methods:

    • Review of existing research on state strategies for HCBS.
    • Analysis of studies examining the impact of Medicaid waivers and Medicare home health services.

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  • Evaluation of regulatory approaches and capitation models for LTC.

    • Main Results:

    • Increased utilization of Medicaid waivers and Medicare home health services strongly predict greater HCBS access.
    • Regulatory strategies to limit institutional beds yield mixed outcomes.
    • Capitation models for LTC show promising but inconclusive results for HCBS expansion.

    Conclusions:

    • Medicaid waivers and Medicare home health services are effective tools for increasing HCBS access.
    • Further research is needed to clarify the impact of regulatory and capitation strategies.
    • Continued investment in and evaluation of HCBS promotion strategies is warranted.