The Affordable Care Act's "community first choice" option: Effect on long-term care expenditures.

ABSTRACT:

Objective

To empirically assess the effect of adopting Affordable Care Act's Community First Choice (CFC) option on overall state home and community-based services (HCBS) expenditures as well as distribution of HCBS expenditures across different HCBS mechanisms. We also explore the heterogeneous effect of CFC across adopting states.

Data source

We used data from the Medicaid Long Term Services and Support (LTSS) expenditure reports prepared by Truven Analytics and Mathematica for the Centers for Medicare & Medicaid Services from 2008-2018 for all 48 states and the District of Columbia.

Study design

An event-study difference-in-differences model was used to estimate the effect of CFC on HCBS expenditures using Medicaid LTSS expenditure reports from 2008-2018. We also e

SUBMITTER: Oyeka O 

PROVIDER: S-EPMC9836960 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature