Faculty Publications

Title

Long-term care spending relevant to U.S. medicaid expansion: Medicaid long-term care spending

Document Type

Article

Journal/Book/Conference Title

Chronic Illness and Long-Term Care: Breakthroughs in Research and Practice

Volume

2

First Page

821

Last Page

844

Abstract

The U.S. population is living longer, placing a demand on long-term care services. In the U.S., Medicaid is the primary player in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from facilities toward community care. Facing other funding obligations and recent recessions, not all states expanded their Medicaid long-term care program using the financial incentives. Some states continue to spend more dollars on traditional nursing facility care despite legislation. This chapter explores why some states spend more revenue on nursing facility long-term care despite enhanced federal funding to reform, while others are spending more on home and community-based services. Regression analysis and 50 state-level data is used.

Original Publication Date

1-1-2018

DOI of published version

10.4018/978-1-5225-7122-3.ch041

Repository

UNI ScholarWorks, Rod Library, University of Northern Iowa

Language

en

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