Results of the assessment of Kentucky's Medicaid home- and community-based services waiver.
In states where a Home- and Community-based Services Waiver is operating under the Medicaid program, HCFA requires an independent assessment of the program. This paper reports on two assessments of the costs and use of services under Kentucky's HCBS waiver: one comparing waiver clients to a matched control group of regular Medicaid home health clients, and the other comparing elderly female waiver clients to a matched control group from nursing homes. Analyses of costs and use of home health services, hospital care, physician services, nursing home admission, and other services showed little difference between waiver clients and control groups. Waiver clients used more home health, but used other services at the same rate. Their costs were lower overall.
Beaulieu
J E
JE
Sanders-Brown Center on Aging, University of Kentucky, Lexington 40536.
D000368:Aged; D016009:Chi-Square Distribution; D003362:Cost-Benefit Analysis / Q000379:methods; D003625:Data Collection; D005260:Female; D006302:Health Services Research / Q000379:methods; D006699:Home Care Services / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D007629:Kentucky; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data*; D009735:Nursing Homes / Q000191:economics / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000379:methods; D012107:Research Design; D013221:State Health Plans / Q000191:economics* / Q000706:statistics & numerical data; D014481:United States