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The Henry J. Kaiser Family Foundation

Medicare Spending and Use of Medical Services for Beneficiaries in Nursing Homes and Other Long‐Term Care Facilities: A Potential for Achieving Medicare Savings and Improving the Quality of Care

Medicare Spending and Use of Medical Services for Beneficiaries in Nursing Homes and Other Long‐Term Care Facilities: A Potential for Achieving Medicare Savings and Improving the Quality of Care This report documents the relatively high rates of hospital stays, emergency room visits and skilled nursing facility admissions among long-term care…

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The Henry J. Kaiser Family Foundation

The Medicaid Medically Needy Program: Spending and Enrollment Update

This brief examines Medicaid’s medically needy program, which gives states the option to extend Medicaid eligibility to those with high medical expenses whose income exceeds the maximum threshold, but who would otherwise qualify. It provides updated enrollment and spending figures on the medically needy using data through federal fiscal year…

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The Henry J. Kaiser Family Foundation

Medicaid and Long Term Care

This policy brief reviews Medicaid's role as the nation's primary source of coverage for long-term care services and examines the implications of recent legislative efforts to restructure the Medicaid program for those in need of care in nursing homes, intermediate-care facilities for the mentally retarded, and home- and community-based settings.Policy…

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The Henry J. Kaiser Family Foundation

Who Stays and Who Goes Home: Using National Data on Nursing Home Discharges and Long-Stay Residents to Draw Implications for Nursing Home Transition Programs

This report analyzes survey data to describe the characteristics of two groups of nursing home residents who are 65 years or older: those who are discharged back to the community over a one year time period and those who remain in nursing homes for 90 days or longer. Over the…

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The Henry J. Kaiser Family Foundation

Medicaid Long-Term Services Reforms in the Deficit Reduction Act

The Deficit Reduction Act of 2005 (DRA) was signed by the President in February 2006 and included major changes to the Medicaid program. This brief provides an overview of the changes to the rules and direction of Medicaid long-term care services as enacted in the DRA.Issue Brief (.pdf)

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The Henry J. Kaiser Family Foundation

Profiles of Nursing Home Residents on Medicaid

This report illustrates through case examples the experiences and challenges of low- and modest-income people who rely on Medicaid to pay for nursing home expenses. These case examples were developed through in-person interviews with nursing home residents and their families in three states: Georgia, Kansas and Virginia. The first section…

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The Henry J. Kaiser Family Foundation

Medicaid 1915(c) Home and Community-Based Service Programs: Annual Data Update

Developing home and community-based service (HCBS) alternatives to institutional care has been a priority for many state Medicaid programs over the last two decades and the focus of Medicaid policy debates recently. While the majority of Medicaid long-term care dollars go toward institutional care, the national percentage of Medicaid spending…

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The Henry J. Kaiser Family Foundation

Private Long-Term Care Insurance: A Viable Option for Low and Middle-Income Seniors?

In the Deficit Reduction Act of 2005, the federal government made it harder for individuals to qualify for Medicaid nursing home benefits by increasing penalties on individuals who have transferred assets for less than fair market value during the past five years and by making individuals with home equity above…

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The Henry J. Kaiser Family Foundation

Home Transition Programs: Perspectives of Medicaid Care Planners

Home Transition Programs: Perspectives of Medicaid Care PlannersThis report draws on interviews with Medicaid care planners for insight into the issues that arise in establishing programs to move individuals with significant long-term care needs from institutional to community settings. The five states that participated in this study—Florida, Louisiana, New Jersey,…

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The Henry J. Kaiser Family Foundation

Medicaid’s Long-Term Care Users: Spending Patterns Across Institutional and Community-based Settings

The nation’s primary payer for long-term services and supports, Medicaid finances 43 percent of all spending on long-term care services and covers a range of services and supports, including those needed by people to live independently in the community, as well as services provided in institutions. This report provides an…

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