Cost effectiveness of home and community-based care

Medicaid section 2176 waivers allow States to provide home and community-based care to Medicaid eligibles who, but for these services, would enter Medicaid-funded nursing homes. One of the conditions required by Congress for granting these waivers is that this substitution results in no additional M...

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Bibliographic Details
Published in:Health care financing review 1989-01, Vol.10 (4), p.65-78
Main Authors: Vertrees, J C, Manton, K G, Adler, G S
Format: Article
Language:English
Subjects:
Activities of Daily Living
Actuarial Analysis
Aged
California
Community health services
Community Health Services - economics
Cost effectiveness
Costs and Cost Analysis
Disabled
Economic aspects
Female
Finance
Georgia
Health administration
Health aspects
Health care expenditures
Health services
Home care
Home care services
Home Care Services - economics
Home care services industry
Humans
Institutionalization - economics
Male
Medicaid
Medicaid - organization & administration
Medicaid program
Medicaid-US
Models, Statistical
Nursing homes
Nursing Homes - utilization
Old age
Reimbursement Mechanisms
Statistical analysis
United States
Waivers
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Summary:Medicaid section 2176 waivers allow States to provide home and community-based care to Medicaid eligibles who, but for these services, would enter Medicaid-funded nursing homes. One of the conditions required by Congress for granting these waivers is that this substitution results in no additional Medicaid spending (budget neutrality). The results of case studies of two of these waiver programs, one in California and one in Georgia, are presented in this article. The case studies contain a description of the operation of these programs in some detail. Next, the data and techniques needed to assess the ability of these programs to achieve budget neutrality are presented, and the performance of these programs along this dimension is evaluated.
ISSN:0195-8631
1554-9887