title: State policy on long-term care for the elderly.
abstract: In the thirteen Assessing the New Federalism states, strategies to control the rate of increase in long-term care spending are extremely varied, especially in comparison with acute care's single-minded focus on managed care. States use three broad strategies: offsetting state spending with increased private and federal contributions, making the delivery system more efficient, and using traditional cost-control mechanisms, including controlling the nursing home bed supply and cutting Medicaid reimbursement rates.
authors.forename: J M
authors.initials: JM
authors.lastname: Wiener
authors.forename: D G
authors.initials: DG
authors.lastname: Stevenson
mesh_terms: D000368:Aged; D003363:Cost Control; D015276:Health Care Rationing; D005102:Health Expenditures; D006291:Health Policy / Q000191:economics*; D006299:Health Services for the Aged / Q000191:economics*; D006801:Humans; D008134:Long-Term Care / Q000191:economics*; D008484:Medicaid / Q000191:economics; D011057:Politics; D013219:State Government; D013221:State Health Plans / Q000191:economics*; D014481:United States