title: Hard choices: targeting long-term care to the "at risk" aged.
abstract: Recent expansion of Medicaid coverage to home- and community-based long-term care moves that payment program away from its traditional institutional bias. But tension over the appropriate role of home care and fears of budget-busting have caused the current administration to set goals for the states that may be impossible to achieve.
mesh_terms: D000368:Aged; D005260:Female; D006299:Health Services for the Aged / Q000191:economics*; D006699:Home Care Services / Q000191:economics; D006801:Humans; D007326:Institutionalization; D008134:Long-Term Care; D008297:Male; D008484:Medicaid; D009735:Nursing Homes / Q000191:economics; D012306:Risk; D014481:United States