State Medicaid Financing and Access to Large Assisted Living Settings for Medicare-Medicaid Dual-Eligibles.
State Medicaid Financing and Access to Large Assisted Living Settings for Medicare-Medicaid Dual-Eligibles.
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DOI：
10.1177/1077558720987666
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发表时间：
2022-02
影响因子：
2.5
通讯作者：
Thomas, Kali S.
中科院分区：
文献类型：
--
作者：
Fabius, Chanee D.;Cornell, Portia Y.;Zhang, Wenhan;Thomas, Kali S.
随着各州试图重新平衡其长期服务和支持，使其远离机构（养老院）护理，双重资格的医疗保险受益人越来越广泛地使用辅助生活。在对2014年居住在大型（25张以上床位）辅助生活社区的506，193名成年人的医疗保险数据进行分析时，我们发现各州之间具有双重资格的辅助生活居民的比例存在很大差异，从新罕布什尔州的6%到纽约的40%以上。这种变化与医疗补助对辅助生活护理的支持密切相关：在具有医疗补助国家计划选项的州，包括辅助生活服务或国家计划和豁免，具有双重资格的辅助生活居民的百分比比没有国家计划或豁免的州高出10个百分点。研究结果提供了一个基础，了解医疗补助融资的作用，在获得辅助生活的老年人。
Assisted living has become more widely used by dual-eligible Medicare beneficiaries as states try to rebalance their long-term services and supports away from institutional (nursing home) care. In an analysis of 2014 Medicare data for 506,193 adults who live in large (25+ beds) assisted living communities, we found wide variability among states in the share of assisted living residents who were dual-eligible, ranging from 6% in New Hampshire to over 40% in New York. This variation is strongly correlated with the Medicaid support for assisted living care: In states with a Medicaid state plan option covering services in assisted living or both a state plan and waiver, the percent of assisted living residents with dual-eligibility was more than 10 percentage points higher than in states with neither a state plan nor waiver. Findings provide a basis for understanding the role of Medicaid financing in access to assisted living for duals.
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