Trends In Medicaid Home And Community-Based Services Waivers For Older Adults.
Trends In Medicaid Home And Community-Based Services Waivers For Older Adults.
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DOI：
10.1377/hlthaff.2022.00149
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发表时间：
2022-08-01
期刊：
影响因子：
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通讯作者：
Konetzka, R Tamara
中科院分区：
文献类型：
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作者：
Skira, Meghan M;Wang, Sijiu;Konetzka, R Tamara
在过去的几十年里，州医疗补助计划扩大了家庭和社区服务的使用，特别是通过第1915（c）条豁免和第1115条示范豁免。我们记录了1997-2020年期间针对老年人的豁免趋势，重点是提供的服务。几乎每个服务类别的覆盖面和支出都有所增加，特别是对自我指导和社区过渡的支持。
During the past several decades, state Medicaid programs have expanded the use of home and community-based services, particularly through Section 1915(c) waivers and Section 1115 demonstration waivers. We document trends from the period 1997-2020 in waivers targeting older adults, focusing on services offered. Nearly every service category saw an increase in coverage and spending, especially support for self-direction and community transition.