Shifting spending and delivery of long-term services and supports (LTSS) from institutions to the home and community is often referred to as rebalancing. This report and brief describe variation in LTSS rebalancing between 2016 and 2019 by enrollee age, health condition, and demographic factors. During the study period, nationally, older adults without an intellectual or developmental disability diagnosis were least rebalanced, meaning they were more likely to receive LTSS in institutional settings.
This research was conducted under contract #HHSP233201500039I between HHS/ASPE’s Office of Behavioral Health, Disability, and Aging Policy (BHDAP) and Research Triangle Institute. Additional research in this area is available at the ASPE Long-Term Services & Supports/Long-Term Care page.
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Available Reports:
- Rebalancing of Medicaid-Funded Long-Term Services and Supports, 2016-2019: Descriptive Analyses of National and State Rebalancing by Enrollee Age, Health Condition, and Demographic Factors
- Rebalancing of Long-Term Supports and Services Among Older Adults Enrolled in Medicaid, 2016-2019
Related Products:
- Transition Rates from the Community to Nursing Home Care among Older Adult Medicaid Enrollees, 2006-2009 (2016) [HTML version also available]
- Interstate Variation and Progress Toward Balance in Use of and Expenditure for Long-Term Services and Supports in 2009 (2014) [HTML version also available]
- An Investigation of Interstate Variation in Medicaid Long-Term Care Use and Expenditures Across 40 States in 2006 (2013) [HTML version also available]