Do non-institutional long-term care services reduce Medicaid spending?

About the webcast

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.

Instructions on how to obtain a pdf of this paper are available at: http://www.pascenter.org/publications/publication_home.php?id=913

About the Presenter

H. Stephen Kaye is an Associate Professor at Department of Social and Behavioral Sciences and Institute for Health and Aging, UCSF. Dr. Kaye is a Co-PI of the PAS Center and Director of the Improved Access to PAS project studying the trends, needs, and unmet needs of PAS consumers. Dr. Kaye has been a Co-PI for the PAS Center since 2003, where he has taken the lead on studies of need for PAS, unmet need, economic analysis of state PAS programs, and trends in the PAS workforce.

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