HCBS Spending and Nursing Home Admissions for 1915(c) Waiver Enrollees
HCBS Spending and Nursing Home Admissions for 1915(c) Waiver Enrollees
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1915(c) 豁免登记者的 HCBS 支出和疗养院入学
DOI：
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发表时间：
2017
影响因子：
5.1
通讯作者：
H. Temkin
中科院分区：
文献类型：
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作者：
M. Segelman;O. Intrator;Yue Li;D. Mukamel;P. Veazie;H. Temkin
针对家庭和社区服务（HCBS）的医疗补助豁免计划增长迅速，服务于养老院（NH）入院高风险人群。本研究利用了医疗补助分析提取个人摘要文件和NH最低数据集，并测试了较高水平的每位受益人HCBS支出是否与(1)较低的长期（90天以上）NH入院风险和(2)1915年新入保者入院时较高的功能/认知障碍(c)老年或老年和残疾人豁免计划。在HCBS支出较高的州和县，与支出较低的州和县的豁免参保者相比，发现长期NH入院的风险较低，在NH入院时功能损伤更大。这表明，较高的每位参保人HCBS支出可能使豁免参保人留在社区，直到他们的功能损伤变得更严重。
ABSTRACT Medicaid waiver programs for home- and community-based services (HCBS) have grown rapidly and serve a population at high risk for nursing home (NH) admission. This study utilized the Medicaid Analytic Extract Personal Summary File and the NH Minimum Data Set and tested whether higher levels of per-beneficiary HCBS spending were associated with (1) lower risk of long-term (90+ days) NH admission and (2) higher functional/cognitive impairment at admission for new enrollees in 1915(c) aged or aged and disabled waiver programs. Waiver enrollees in states and counties with higher HCBS spending were found to have lower risk of long-term NH admission and greater functional impairment at NH admission compared to waiver enrollees in states and counties with lower spending. This indicates that higher per-enrollee HCBS spending may enable waiver enrollees to remain in the community until their functional impairment becomes more severe.
DOI：
10.1093/gerona/54.11.m546
发表时间：
1999-11-01
影响因子：
5.1
作者：
Morris, JN;Fries, BE;Morris, SA
通讯作者：
Morris, SA
当地医疗补助家庭和社区服务支出以及年轻人的疗养院入院情况。
影响因子：
12.7
作者：
Thomas,KaliS;Keohane,Laura;Mor,Vincent
通讯作者：
Mor,Vincent
影响因子：
5.4
作者：
Muramatsu, Naoko;Yin, Hongjun;Hedeker, Donald
通讯作者：
Hedeker, Donald