title: State Medicaid ICF-MR utilization and expenditures in the 1980-1984 period.
abstract: State Medicaid ICF-MR expenditures have shown a dramatic increase during the 1980-1984 period. The ICF-MR bed capacity declined slightly relative to the total state population, whereas the number of ICF-MR Medicaid recipients increased somewhat during the period. Regression analysis showed a strong positive relation with higher ICF-MR utilization and expenditures. Higher Medicaid reimbursement rates and greater proportions of employees who were unionized were also associated with higher state expenditures. Some states may be using limits on ICF-MR bed supply and reimbursement rates to constrain their overall Medicaid ICF-MR program costs.
authors.affiliation: Institute for Health and Aging, University of California, San Francisco 94143-0646.
authors.forename: C
authors.initials: C
authors.lastname: Harrington
authors.forename: J H
authors.initials: JH
authors.lastname: Swan
mesh_terms: D005102:Health Expenditures; D006742:Hospital Bed Capacity; D006801:Humans; D008607:Intellectual Disability / Q000191:economics*; D007380:Intermediate Care Facilities / Q000191:economics*; D008484:Medicaid / Q000191:economics / Q000706:statistics & numerical data*; D009735:Nursing Homes / Q000191:economics*; D014481:United States