Institutional and Community-Based Long-Term Care

Kitchener, Martin James ORCID: https://orcid.org/0000-0001-6249-557X, Ng, Terence, Miller, Nancy and Harrington, Charlene 2006. Institutional and Community-Based Long-Term Care. Journal of Health & Social Policy 22 (2) , pp. 31-50. 10.1300/J045v22n02_03

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Abstract

As long-term care policy makers struggle with competing challenges including state budget deficits and pressures to expand homeand community-based services (HCBS), there is a pressing need for information on the comparative cost of Medicaid HCBS and institutional care. This paper uses the most recent available data (2002) to present three per participant expenditure comparisons between Medicaid HCBS waivers (which require that participants have an institutional level of care need) and institutional care: (1) program expenditure (waivers vs. the comparable level of institutional provision); (2) total Medicaid expenditure (program plus other Medicaid expenditure); and (3) estimated total public expenditure (Medicaid expenditures plus state and federal supplemental- income payments). This analysis estimates that when compared with Medicaid institutional care in 2002, HCBS waivers produced a national average public expenditure saving of $43,947 per participant. doi:10.1300/J045v22n02_03.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Business (Including Economics)
Subjects:	H Social Sciences > H Social Sciences (General) H Social Sciences > HV Social pathology. Social and public welfare J Political Science > JK Political institutions (United States) R Medicine > RA Public aspects of medicine
Uncontrolled Keywords:	Medicaid home and community-based waivers, public cost savings, long-term care
Publisher:	Haworth Press
ISSN:	0897-7186
Last Modified:	21 Oct 2022 09:56
URI:	https://orca.cardiff.ac.uk/id/eprint/38385

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