Do Noninstitutional Long-Term Care Services Reduce Medicaid Spending?
Do Noninstitutional Long-Term Care Services Reduce Medicaid Spending?
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DOI：
10.1377/hlthaff.28.1.262
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发表时间：
2009-01-01
期刊：
影响因子：
9.7
通讯作者：
Harrington, Charlene
中科院分区：
文献类型：
--
作者：
Kaye, H. Stephen;LaPlante, Mitchell P.;Harrington, Charlene
近年来，医疗补助在家庭和社区服务（HCBS）上的支出急剧增长，但人们对这些机构服务的替代方案对整体长期护理成本的影响知之甚少。对1995年至2005年的州支出数据的分析表明，对于接受长期护理服务的两个不同的人口群体，提供有限非机构服务的州的支出增长大于具有大型，完善的非机构计划的州。扩大HCBS似乎需要短期增加支出，然后减少机构支出和长期成本节约。[Health Affairs 28，no. 1（2009）：262-272; 10.1377/hlthaff.28.1.262]
Medicaid spending on home and community-based services (HCBS) has grown dramatically in recent years, but little is known about what effect these alternatives to institutional services have on overall long-term care costs. An analysis of state spending data from 1995 to 2005 shows that for two distinct population groups receiving long-term care services, spending growth was greater for states offering limited noninstitutional services than for states with large, well-established noninstitutional programs. Expansion of HCBS appears to entail a short-term increase in spending, followed by a reduction in institutional spending and long-term cost savings. [Health Affairs 28, no. 1 (2009): 262-272; 10.1377/hlthaff.28.1.262]