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Nursing home utilization patterns: implications for policy.

Journal of Health Politics, Policy and Law

|January 1, 1980

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Medicaid policies impact nursing home bed availability and utilization. Research suggests a need for comprehensive long-term care services, policy review, and better bed allocation methods to address shortages.

Area of Science:

Health Economics
Gerontology
Public Policy

Background:

Nursing home expenditures are a rapidly growing part of healthcare costs, largely publicly funded.
Medicaid policies significantly influence long-term care access and affordability.
Understanding the interplay between need, demand, and utilization is crucial for policy development.

Purpose of the Study:

To review research on nursing home utilization in relation to Medicaid subsidization policies.
To identify factors affecting nursing home bed shortages and utilization patterns.
To inform policy recommendations for improving long-term care services.

Main Methods:

Literature review of research on nursing home utilization.
Analysis of Medicaid reimbursement and eligibility policies.

Related Experiment Videos

Examination of eight key variables influencing utilization.

Main Results:

Medicaid policies can lead to a chronic shortage of nursing home beds.
Key variables influencing utilization include Medicaid generosity, demographics, and financial resources.
Current policies may not adequately address the demand for long-term care.

Conclusions:

There is a need for increased subsidization of comprehensive long-term care services.
A review of current Medicaid reimbursement policies for nursing homes is recommended.
Improved methods for allocating existing nursing home beds are necessary.