title: Medicare and medicaid in long-term care.
abstract: Medicare and Medicaid, two publicly funded health programs, both cover populations in need of long-term care, but they are poorly coordinated. Gaps often exist in some services while there is overlap in others. This can lead to inefficient delivery of services and confusion among program recipients and providers alike. Spending on postacute services in Medicare and long-term care services in Medicaid has grown more rapidly than enrollment in either program since 1999. Although growing numbers of people receive home and community-based services paid for by the two programs, there are wide variations across states and among target groups. The system of long-term care is in need of structural reform.
authors.affiliation: Department of Social and Behavioral Sciences, University of California, San Francisco, California, USA.
authors.forename: Terence
authors.initials: T
authors.lastname: Ng
authors.forename: Charlene
authors.initials: C
authors.lastname: Harrington
authors.forename: Martin
authors.initials: M
authors.lastname: Kitchener
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003153:Community Health Services / Q000191:economics / Q000600:supply & distribution; D003695:Delivery of Health Care / Q000191:economics / Q000379:methods*; D005380:Financing, Government / Q000379:methods*; D005102:Health Expenditures / Q000706:statistics & numerical data* / Q000639:trends; D006301:Health Services Needs and Demand; D006699:Home Care Services / Q000331:legislation & jurisprudence; D017051:Hospice Care; D006801:Humans; D019458:Insurance Coverage / Q000331:legislation & jurisprudence; D008134:Long-Term Care / Q000191:economics / Q000706:statistics & numerical data / Q000639:trends; D008484:Medicaid / Q000191:economics / Q000639:trends; D006278:Medicare / Q000191:economics / Q000639:trends; D010548:Personal Health Services; D015397:Program Evaluation; D013221:State Health Plans; D014481:United States