Journal
HEALTH AFFAIRS
Volume 32, Issue 10, Pages 1796-1802Publisher
PROJECT HOPE
DOI: 10.1377/hlthaff.2013.0390
Keywords
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Funding
- National Institute on Aging [P01 AG-027296]
- Agency for Healthcare Research and Quality [T32 HS-000011]
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Programs that help older adults live independently in the community can also deliver net savings to states on the costs of long-term supports and services. We estimate that if all states had increased by 1 percent the number of adults age sixty-five or older who received home-delivered meals in 2009 under Title III of the Older Americans Act, total annual savings to states' Medicaid programs could have exceeded $109 million. The projected savings primarily reflect decreased Medicaid spending for an estimated 1,722 older adults with low care needs who would no longer require nursing home care-instead, they could remain at home, sustained by home-delivered meals. Twenty-six states could have realized net savings in 2009 from the expansion of their home-delivered meals programs, while twenty-two states would have incurred net costs. Programs such as home-delivered meals have the potential to provide substantial savings to some states' Medicaid programs.
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