全球智库信息集成服务系统(G2TT): Medicaid-Financed Institutional Services: Characteristics of Nursing Home and ICF/IID Residents and Their Patterns of Care

G2TT

来源类型	Publication
	Medicaid-Financed Institutional Services: Characteristics of Nursing Home and ICF/IID Residents and Their Patterns of Care
	Jeffrey Ballou; Valerie Cheh; Dean Miller; and Audra Wenzlow
发表日期	2013-08-30
出版者	Washington, DC: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy
出版年	2013
语种	英语
概述	To better understand the population of Medicaid enrollees living in nursing homes or intermediate care facilities for individuals with intellectual disabilities (ICFs/IID), researchers analyzed data from the Medicaid Analytic eXtract (MAX) from 2006 and 2007 to determine the characteristics of enrollees remaining in nursing homes and ICFs/IID and their stays and assess how the length of institutional stays varies at the state level with changes in state constraints and policies. More specifically, the report explored the use of home and community-based services (HCBS) both before and after institutional stays and whether the length of institutional stays throughout a state corresponded to the percentage of Medicaid long-term care (LTC) spending the state allocated to HCBS.",
摘要	Among Medicaid enrollees with institutional stays of six months or less, 30 percent used HCBS prior to receiving nursing home services, whereas more than one in four used HCBS following discharge. Although the percentage of nursing home stays lasting three months or less was generally higher in states with larger investments in HCBS than in nursing homes and with higher HCBS utilization rates, these associations were not especially large. Fewer older adults and people with disabilities were enrolled in Medicaid in 2006–2007 than in 2001–2002, and fewer of these people had either new or ongoing nursing home stays. The percentage of this population receiving care in nursing homes declined slightly in states that allocated a high proportion of their Medicaid LTC expenditures to HCBS, while rising slightly in others. More than 40 percent of enrollees living in ICFs/IID used HCBS before their ICF/IID stay, suggesting that it is not uncommon for an individual to use both community and institutional services rather than solely ICF/IID services. To better understand the population of Medicaid enrollees living in nursing homes or intermediate care facilities for individuals with intellectual disabilities (ICFs/IID), researchers analyzed data from the Medicaid Analytic eXtract (MAX) from 2006 and 2007 to determine the characteristics of enrollees remaining in nursing homes and ICFs/IID and their stays and assess how the length of institutional stays varies at the state level with changes in state constraints and policies. More specifically, the report explored the use of home and community-based services (HCBS) both before and after institutional stays and whether the length of institutional stays throughout a state corresponded to the percentage of Medicaid long-term care (LTC) spending the state allocated to HCBS.
URL	https://www.mathematica.org/our-publications-and-findings/publications/medicaidfinanced-institutional-services-characteristics-of-nursing-home
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/487486
推荐引用方式 GB/T 7714	Jeffrey Ballou,Valerie Cheh,Dean Miller,et al. Medicaid-Financed Institutional Services: Characteristics of Nursing Home and ICF/IID Residents and Their Patterns of Care. 2013.

条目包含的文件
文件名称/大小	资源类型	版本类型	开放类型	使用许可
MFIS.pdf（50KB）	智库出版物		限制开放	CC BY-NC-SA	浏览