Journal
HEALTH AFFAIRS
Volume 28, Issue 1, Pages 262-272Publisher
PROJECT HOPE
DOI: 10.1377/hlthaff.28.1.262
Keywords
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Funding
- Center for Personal Assistance Services
- National Institute on Disability and Rehabilitation Research [H133B031102]
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Medicaid spending on home and community-based services (HCBS) has grown dramatically in recent years, but little is known about what effect these alternatives to institutional services have on overall long-term care costs. An analysis of state spending data from 1995 to 2005 shows that for two distinct population groups receiving long-term care services, spending growth was greater for states offering limited noninstitutional services than for states with large, well-established noninstitutional programs. Expansion of HCBS appears to entail a short-term increase in spending, followed by a reduction in institutional spending and long-term cost savings. [Health Affairs 28, no. 1 (2009): 262-272; 10.1377/hlthaff.28.1.262]
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