...Bruce Jacobs; William Weissert A majority of elderly Americans have the bulk of their assets tied up in the houses they own. Reverse mortgages could tap this home equity, providing loan disbursements without requiring older homeowners to make monthly payments on principal and interest...

...Christine E. Bishop The competitive model may fit the nursing home sector better than it fits other health care markets, but Medicaid subsidies and regulation have not allowed the market to work freely, and nursing home insurance may cause further divergence from a competitive ideal. Incentives...

...Susan S. Laudicina; Brian Burwell This article presents the findings of a national survey of Medicaid home and community-based care waiver programs established under Section 2176 of the Omnibus Budget Reconciliation Act of 1981. The article documents the ways states have used their waiver authority...

...Mark D. Koepke; John A. Nyman; John A. Koepke Blood transfusions have almost always been confined to hospital settings in the past. Recent medical care trends have shifted some therapies (e.g., renal dialysis, hemophilia treatment) into the patient's home. Transfusions are now being given...

... . At Least We’re Still Free to Choose to Die at Home: A CLASS Act David M. Frankford Rutgers University A particularly contentious part of the Patient...

...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 should not be interpreted as representing the position of The Urban Institute or its sponsors. Washington Report The Shortage of Nursing Home Beds Judith Feder and WiUiam Scanlon* After years of decrying excess, policymakers have turned...

...Janice M. Caldwell; Marshall B. Kapp Using as their point of departure the proposed nursing home standards recently published by the U.S. Department of Health and Human Services, the authors discuss the dilemma of regulating for human rights. Provisions considered for inclusion in the regulations...

...David A. Rochefort Howard A. Palley and Julianne S. Oktay, The Chronically Limited Elderly: The Case for a National Policy for In-Home and Supportive Community-Based Services (New York: The Haworth Press, 1983), 142 pp., $19.95 Copyright © 1984 by the Department of Health Administration...

...John Holahan The paper uses data from nursing-home cost reports to analyze the effectiveness of different approaches to nursing-home reimbursement. Our research has produced considerable evidence on the effect of states' efforts to reduce the rate of increase in nursing-home costs. First, homes...

...Genevieve M. Kenney This study examines the determinants of home health use after hospitalization for acute illness for eleven diagnosis-related groups (DRGs) in 1985, drawing on data from four primary sources: Medicare hospital bills, Medicare home health bills, the Medicare and Medicaid Automated...

...A. E. Benjamin Diane Rowland and Barbara Lyons, eds. Financing Home Care: Improving Protection for Disabled Elderly People . Baltimore, MD: Johns Hopkins University Press, 1991. 256 pp. $47.50 cloth. Copyright © 1994 by Duke University Press 1994 References Kane , Rosalie...

...Jacqueline S. Zinn This article identifies factors influencing the degree of competition in the nursing home market. Using data obtained from the 1987 Medicare and Medicaid Automated Certification Survey, the relationship between competition and structural and process measures of quality...

...Edward Alan Miller; Lisa Kalimon Beauregard Abstract The need to bolster Medicaid home and community-based services (HCBS) became more evident during the COVID-19 pandemic. This recognition stemmed from the challenges of keeping people safe in nursing homes and the acute workforce shortages...

... of a large for-profit nursing home chain. A historical case study was used to examine multiple public data sources, focusing on facilities in California from 2003 to 2011 during and after regulatory actions and litigation. The results showed that the state issued numerous deficiencies for violations...

...Ariel Ducey Boris Eileen and Klein Jennifer . Caring for America: Home Health Workers in the Shadow of the Welfare State . New York : Oxford University Press , 2012 . 295 pp. $35.00 cloth. © 2013 by Duke University Press 2013...

...Judith Feder; William Scanlon Even before Medicare adopted case-based payments for hospitals, some state Medicaid programs employed case-mix payment systems for nursing home care. Their purpose was less to promote cost containment than to improve access to nursing homes for the most costly patients...

... strategy for nursing homes. Designed to empower consumers to make informed choices and to stimulate provider competition on quality, nursing home public reporting began in 1998 with the Nursing Home Compare Web site and has received greater emphasis in the 2002 Nursing Home Quality Initiative, both...

...Andrew Szasz Health care organizations are highly labor-intensive; policies designed to stimulate organizational change are likely to have labor impacts. This paper examines the labor effects of policy change in home health care. Major federal home care policy trends since 1980 have spurred...

...Anne Jamieson I consider policy trends and the provision of home care for frail elderly people in four countries: Denmark, the United Kingdom, Germany, and the United States. The differing natures of the health and social services systems of each country and the welfare ideologies that underlie...