Home-care use and expenditures among Medicaid beneficiaries with AIDS.
This article compares the use and cost of home-care services among traditional Medicaid recipients with acquired immunodeficiency syndrome (AIDS) and among participants in a statewide Human Immunodeficiency Virus (HIV)/AIDS-specific home and community-based Medicaid waiver program in New Jersey, using Medicaid claims and AIDS surveillance data. Waiver program participation appears to mitigate racial and risk group differences in the probability of home-care use. However, the program's successes are confined to its enrollees of which subgroups of the AIDS population are underrepresented. Our findings suggest the need to expand access to home-care programs to racial minorities and injection drug users (IDUs) with HIV/AIDS.
Sambamoorthi
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Institute for Health, Health Care Policy and Aging Research, Rutgers University, 30 College Avenue, New Brunswick, NJ 08901-1293, USA. sambamoo@rci.rutgers.edu
Collins
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SR
Crystal
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Walkup
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J
D000163:Acquired Immunodeficiency Syndrome / Q000191:economics*; D000368:Aged; D003153:Community Health Services / Q000191:economics / Q000706:statistics & numerical data*; D004608:Eligibility Determination / Q000331:legislation & jurisprudence*; D005260:Female; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006297:Health Services Accessibility; D006699:Home Care Services / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008484:Medicaid / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D008875:Middle Aged; D008913:Minority Groups; D009515:New Jersey; D013221:State Health Plans; D015819:Substance Abuse, Intravenous; D014481:United States; D014600:Utilization Review