A National Examination Of Long-Term Care Setting, Outcomes, And Disparities Among Elderly Dual Eligibles.

ABSTRACT: The benefits of expanding funding for Medicaid long-term care home and community-based services (HCBS) relative to institutional care are often taken as self-evident. However, little is known about the outcomes of these services, especially for racial and ethnic minority groups, whose members tend to use the services more than whites do, and for people with dementia who may need high-intensity care. Using national Medicaid claims data on older adults enrolled in both Medicare and Medicaid, we found that overall hospitalization rates were similar for HCBS and nursing facility users, although nursing facility users were generally sicker as reflected in their claims history. Among HCBS users, blacks were more likely to be hospitalized than non-Hispanic whites were, and the gap widened among b

SUBMITTER: Gorges RJ 

PROVIDER: S-EPMC7147241 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature