Nursing Homes & Facilities

This study is a follow-up to earlier research conducted with 2006 and 2009 Medicaid (MAX) data on interstate variations on the extent of the "re-balancing" of Medicaid long-term services and supports (LTSS) from nursing home care toward greater reliance on home and community-based services (HCBS).

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Older adults who have income and assets have choices should they need long-term services and supports (LTSS). In this paper we estimate the extent to which older adults could potentially use home equity to help pay for nursing home care. By estimating the relationship between home equity and care costs, we provide an upper bound on how much assistance with LTSS home equity might purchase.

Are chronically disabled elders residing in the community who use home and community-based services (HCBS) less likely to end up in a nursing home? The 2004 National Long-Term Care Survey (NLTCS), a nationally representative sample of Americans aged 65 and older, was linked to follow-up years of Medicare/Medicaid claims and other administrative data.

This report developed new estimates of the program’s effects for Program of All-Inclusive Care for the Elderly (PACE) enrollees in eight states based on more recent data. PACE plans provide coordinated acute and long-term care services to nursing home eligible seniors residing in the community. [75 PDF pages]

High stress reported by informal (unpaid, mostly family) caregivers providing functional assistance to chronically disabled elders residing in the community is a very powerful predictor of care recipients' subsequent transition from community living to long-stay nursing home residence.

  Medicaid-Financed Institutional Services: Patterns of Care for Residents of Nursig Homes and Intermediate Care Facilities for Individuals with Intellectual Disabilities in 2008 and 2009 May 7, 2014 Robert Schmitz, Victoria Peebles, Rosemary Borck and Dean Miller Mathematica Policy Research Abstract Although states have begun to re

Medicaid-Financed Institutional Services: Patterns of Care for Residents of Nursig Homes and Intermediate Care Facilities for Individuals with Intellectual Disabilities in 2008 and 2009 Executive Summary May 7, 2014 Robert Schmitz, Victoria Pe

Arkadipta Ghosh, Cara Orfield and Robert Schmitz Mathematica Policy Research January 2014