title: Local Medicaid home- and community-based services spending and nursing home admissions of younger adults.
abstract: We used fixed-effect models to examine the relationship between local spending on home- and community-based services (HCBSs) for cash-assisted Medicaid-only disabled (CAMOD) adults and younger adult admissions to nursing homes in the United States during 2001 through 2008, with control for facility and market characteristics and secular trends. We found that increased CAMOD Medicaid HCBS spending at the local level is associated with decreased admissions of younger adults to nursing homes. Our findings suggest that states' efforts to expand HCBS for this population should continue.
authors.affiliation: Kali S. Thomas and Vincent Mor are with the Department of Veterans Affairs Medical Center, and Center for Gerontology and Healthcare Research, Brown University, Providence, RI. Laura Keohane is with the Department of Health Services, Policy, and Practice, Brown University.
authors.forename: Kali S
authors.initials: KS
authors.lastname: Thomas
authors.forename: Laura
authors.initials: L
authors.lastname: Keohane
authors.forename: Vincent
authors.initials: V
authors.lastname: Mor
mesh_terms: D000367:Age Factors; D003153:Community Health Services / Q000191:economics* / Q000706:statistics & numerical data; D006699:Home Care Services / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D008484:Medicaid / Q000191:economics* / Q000706:statistics & numerical data; D008875:Middle Aged; D009735:Nursing Homes / Q000191:economics* / Q000706:statistics & numerical data; D014481:United States