Evaluating the Affordable Care Act's Long-Term Services and Supports Rebalancing Programs.

ABSTRACT:

Objective

To understand the impact of the Balancing Incentive Program (BIP) and Community First Choice State Plan Option (CFC) on LTSS rebalancing as measured by the size of and balance between the community and institutional LTSS workforces.

Study setting and design

Using a stacked difference-in-difference design, this paper evaluates the impact of BIP and CFC on the number of LTSS workers per 1000 persons 65+, the number of community LTSS workers per 1000 persons 65+, the number of institutional LTSS workers per 1000 persons 65+, and the proportion of all LTSS workers employed in community-based settings. We also test the impact of BIP's performance targets by separately estimating program effects for states that had yet to meet BIP rebalancing targets upon entering the pr

SUBMITTER: Ne'eman A 

PROVIDER: S-EPMC12875318 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature