Medicaid home- and community-based services and discharge from skilled nursing facilities.

ABSTRACT:

Objective

To examine the association between the generosity of Medicaid home- and community-based services (HCBS) and the likelihood of community discharge among Medicare-Medicaid dually enrolled older adults who were newly admitted to skilled nursing facilities (SNFs).

Data sources

National datasets, including Medicare Master Beneficiary Summary File (MBSF), Medicare Provider and Analysis Review (MedPAR), Medicaid Analytic eXtract (MAX), minimum data set (MDS), and publicly available data at the SNF or county level, were linked.

Study design

We measured Medicaid HCBS generosity by its breadth and intensity and described their variation at the county level. A set of linear probability models with SNF fixed effects were estimated to characterize the association between

SUBMITTER: Wang S 

PROVIDER: S-EPMC8586486 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature