...William G. Weissert; Timothy Lesnick; Melissa Musliner; Kathleen A. Foley The Arizona Long-Term Care System is the first capitated, long-term care Medicaid program in the nation to operate statewide. It promotes an extensive home and community-based services program intended to lower long-term care...

...Frank J. Thompson; Joel C. Cantor; Jennifer Farnham Abstract Medicaid is vastly more important than Medicare or private insurance in funding long-term care (LTC). However, states vary tremendously in their commitment to Medicaid LTC. This article advances knowledge of the origins, nature...

...Joshua M. Wiener; Rose M. Rubin This study analyzes the potential effect on the Medicaid program of private sector financing mechanisms for long-term care. The data are from the Brookings-ICF Long-Term Care Financing Model and include projections over the next thirty years. While private financing...

...Frank G. Williams; David Phoenix; Bradford L. Kirkman-Liff Arizona is adding long-term care to its prepaid, capitated alternative to Medicaid. This article discusses the potential for this major cost-control experiment. Experience suggests that those able to qualify for long-term care will fare...

... of long-term care provided under Medicaid. The average Medicaid long-term care expenditure on persons sixty-five years and older varies from $2,720 in New York to $380 in Arizona. Likewise, payments for home and community-based services (HCBS) vary from $1,180 in New York to $29 in Mississippi. Only...

... are between 5:1 and 7:1. While retrospective billing practices may aid states in reducing Medicaid outlays and potentially help dual Medicare beneficiaries gain coverage for their home care claims, they increase Medicare expenditures for home care at a time of concern for the long-term financial viability...

... protection, the case for a more targeted public approachalong with reliance on the private sectorbecomes more compelling. Congress should consider a program that enhances Medicaid; improves consumer education; assists states in regulating long-term care policies, so as to enhance consumer protection...

...William J. Scanlon Nursing homes represent the fastest growing component of health care expenditures, over half of which come from public funds. This paper reviews research on nursing home utilization with regard to several policy issues concerning the subsidization of long-term care by Medicaid...

... and Medicaid Automated Certification System files, and the Ameri- can Hospital Association Survey. Separate Tobit models are estimated for each DRG. The analysis shows that transfers to home health care are heavily influenced by the hospital’s long-term care arrangement and by conditions in local nursing...

... disability law that has helped spur transformational changes in how Medicaid addresses community-based long-term care. Copyright © 2016 by Duke University Press 2016 ADA disability Medicaid community integration discrimination From a legal perspective, all United States Supreme Court...

... describes Kynect and the Kentucky Medicaid expansion and examines the potential short-term and long-term impacts that may occur following changes in state health policy. Furthermore, this article will offer potential strategies to ameliorate the expected negative impacts of disruption of both Kynect...

..., Demonstrations, and Evaluations. In Long-Term Care: Perspectives from Research and Demonstrations, ed. R. J. Vogel and H. C. Palmer. Washington, DC: U.S. DHHS. Hill , I. T. 1990 . Improving State Medicaid Programs for Pregnant Women and Children. Health Care Financing Review (Annual Supplement): 75...

... changes by promoting policy change at the state level. Medicaid, which in the United States provides health and long-term care coverage to the poor and disabled, is jointly funded by federal and state governments but is administered by the states. Federal contributions are determined...

... to the needs of increasingly organized older people, since the tax-financed and federally regulated Medicaid system is largely responsible for financing long-term care for the elderly. Residential Care for the Elderly lens Alber...

.... Sredl, and S. Eiken. 2006. Medicaid Long-Term Care Expenditures FY 2005. July 6. www.hcbs.org/files/94/4681/2005LTCExpenditures.xls (accessed August 16, 2007). Butler, P. A., and R. E. Schlenker. 1989 . Case-Mix Reimbursement for Nursing Homes: Objectives and Achievements. Milbank Quarterly 67...

... and Evaluation (CARE) at Penn State’s Institute of State and Regional Affairs, and adjunct associate professor of management and health care systems at Penn State College of Medicine. Her research focuses on aging and disability, health and long-term care systems, the future of Medicaid long-term care...

...William G. Weissert Recent expansion of Medicaid coverage to home-and community-based long-term care moves that payment program away from its traditional institutional bias. But tension over the appropriate role of home care and fears of budget-busting have caused the current administration to set...

.... Mendelson , M. 1974 . Tender Loving Greed. New York: Knopf. National Association of Insurance Commissioners. 1986 . Long-Term Care: An Industry Perspective on Market Development and Consumer Protection. Kansas City, MO: NAIC. Nyman , John A. 1985 . Prospective and “Cost-Plus” Medicaid...

... that these patients require a different mix of services than is typically available. Much of the responsibility for persons with severe illness will continue to fall on state and local programs and on Medicaid for those who retain eligibility. The proposed new long-term care program providing expanded...

... University Press . Thompson F. J. Burke C. . 2009 . Federalism by Waiver: Medicaid and the Transformation of Long-Term Care . Publius 39 : 22 – 46 . U.S. Census Bureau . 2007 – 2009 . Current Population Survey: Annual Social and Economic Supplements . www.census.gov/cps...