Abstract
Recent passage of legislation in Florida mandating the development of a statewide Medicaid managed care long-term care plan was initiated to facilitate the utilisation of home- and community-based long-term care services in place of high cost, non-skilled nursing home care. However, programme savings will be limited if the care needs of nursing home residents exceed that currently provided by community-based programmes. This article reports on the challenges that arose from our efforts to compare the care burden of nursing home residents and nursing home-eligible Medicaid waiver programme enrolees. Our experience will better enable policy researchers and managed care plans to design comparative effective studies that address the rebalancing of long-term care resources.
Original language | English (US) |
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Pages (from-to) | 43-52 |
Number of pages | 10 |
Journal | International Journal of Public Policy |
Volume | 8 |
Issue number | 1-3 |
DOIs | |
State | Published - Mar 1 2012 |
Keywords
- Home-and community-based services
- Long-term care
- Medicaid
- Rebalancing
ASJC Scopus subject areas
- Sociology and Political Science
- Political Science and International Relations
- Public Administration