Rebalancing Long-Term Care: The Role of the Medicaid HCBS Waiver Program
Rebalancing Long-Term Care: The Role of the Medicaid HCBS Waiver Program
复制标题
重新平衡长期护理：医疗补助 HCBS 豁免计划的作用
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
C. Shirk
中科院分区：
文献类型：
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作者：
C. Shirk
概述-本文回顾了医疗补助家庭和社区服务(HCBS)豁免计划的历史和背景。它描述了资格、福利和融资结构，以及随着时间的推移计划支出的趋势。本文考虑了HCBS豁免计划对改善老年和残疾人医疗补助受益人获得社区护理的贡献，并讨论了仍然存在的障碍。本文件还概述了最近颁布的2005年《减赤法案》中可能进一步扩大医疗补助方案的条款，并考虑了它如何继续重新定义长期护理概念的进程。
OVERVIEW — This paper reviews the history and background of the Medicaid home and community-based services (HCBS) waiver program. It describes the eligibility, benefits, and financing structure, as well as the trends in program expenditures over time. The paper considers the contribution of the HCBS waiver program toward improving access to community-based care for Medicaid beneficiaries who are elderly and disabled and discusses the barriers that remain. This paper also summarizes the provisions included in the recently enacted Deficit Reduction Act of 2005 that may further expand Medicaid HCBS and considers how it may continue the process of redefining the concept of long-term care.