Study Suggests Medicaid-Sponsored Home Care

A recently released study of Medicaid-financed nursing home use over 18 months in 2001 and 2002 finds that in states such as Oregon that have extensive community based long-term care services, Medicaid-covered nursing home stays were shorter than the national average. The numbers suggest that where seniors have alternatives, their nursing home stays are more likely to be for acute care following a hospitalization or for a shorter period at the end of life.

The study, "Medicaid-Financed Nursing Home Services: Characteristics of People Served and Their Patters of Care, 2001-2002," conducted by Matehematica Policy Research for the Office of Disability, Aging and Long-Term Care Policy for the U.S. Department of Health and Human Services, reports that over half of Medicaid-covered nursing home residents do not become eligible for benefits until after they move to a nursing home, with 29 percent obtaining coverage within six months of moving to the nursing home, 5 percent between six and 12 months, 7 percent between one and two years, and 9 percent after more than two years.

In 2002, more than 45 percent of nursing home costs nationally were paid by Medicaid, but a larger proportion of nursing home residents were Medicaid beneficiaries since even on Medicaid, some of the cost of their care is covered by Medicare, their own contributions from income, and other sources. In terms of all Medicaid expenditures, while aged and disabled enrollees make up about 25 percent of Medicaid beneficiaries, they account for 80 percent of Medicaid expenditures.

The report confirms the continuing trend that most nursing home residents are among the older old. The average of nursing home residents who entered in 2002 was 76 years, with 32 percent each being between the ages 75 and 84 and 85 and older. Twenty percent were under age 65 and 16 percent between ages 65 and 74.

Comments

[Nithya]

This study suggests that despite great hopes to the contrary, managed care probably isn't the ticket for improving care for the Medicaid population, researchers said. At minimum, resources may need to be configured a different way to address these patients' needs, according to Dr. Bruce Landon, associate professor of health care policy and medicine at Harvard Medical School, who served as lead author of the study.
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Nithya

http://www.alcoholaddiction.org/south-carolina

[Nithya]

This study suggests that despite great hopes to the contrary, managed care probably isn't the ticket for improving care for the Medicaid population, researchers said. At minimum, resources may need to be configured a different way to address these patients' needs, according to Dr. Bruce Landon, associate professor of health care policy and medicine at Harvard Medical School, who served as lead author of the study.
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Nithya

http://www.alcoholaddiction.org/south-carolina

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