Variation by Disability in State Predictors of Medicaid 1915c Waiver Use and Expenditures

Miller, Nancy A.; Kitchener, Martin; Elder, Keith; Kang, Yu; Rubin, Andrea; Harrington, Charlene

doi:10.1093/geront/45.6.764

Cited by 14 publications

(11 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This economic measure was positively associated with rates of use and expenditures for individuals with developmental disabilities but not related to use and expenditures for older and working-age individuals (N. A. Miller, Kitchener, et al, 2005). Although it is a proxy for state economic resources, it may also be a proxy for the availability of informal care.…”

Section: Discussionmentioning

confidence: 97%

Medicaid 1915(c) Waiver Use and Expenditures for Persons Living With HIV/AIDS

et al. 2007

View full text Add to dashboard Cite

States' use of Medicaid 1915(c) waiver services for persons living with HIV/AIDS (PLWHA) has been limited. The authors examine state-level factors related to the decision to offer waiver services, as well as waiver use and expenditures in states offering waivers for PLWHA. They use fixed effects cross-sectional time series models to explore these state factors. States with Democratic governors were more likely to offer waiver services and were found to have higher rates of use and greater expenditures and to devote a larger share of long-term care dollars to waiver services for PLWHA. State supply of both institutional and residential care beds was negatively related to use and expenditures. Medicaid community-based care has been found to be related to improved outcomes and reduced costs of care. Ways to foster 1915(c) waiver expansion are important so as to increase access to care for PLWHA.

show abstract

Section: Discussionmentioning

confidence: 97%

Medicaid 1915(c) Waiver Use and Expenditures for Persons Living With HIV/AIDS

et al. 2007

View full text Add to dashboard Cite

show abstract

“…The year 2003 was selected as a midpoint between the report years of 2000-07. State characteristics such as these are often useful in understanding state decision-or policy-making (Baron and Straus, 1989;Miller et al, 2005;Soule and Real, 2001;Zimmerman, 1988). The data for team-level characteristics were taken from Webster et al (2003), the only source for team characteristics.…”

Section: State and Team Characteristicsmentioning

confidence: 99%

Recommendations from child fatality review teams: results of a US nationwide exploratory study concerning maltreatment fatalities and social service delivery

Douglas

Cunningham

2008

Child Abuse Review

View full text Add to dashboard Cite

Multidisciplinary child fatality review teams (CFRT) have existed in the United States (US) for almost 30 years; the products of the review process, however, remain unexamined. This study reviewed reports from CFRT throughout the US to compile and evaluate the identification of problems and recommendations by professionals concerning child maltreatment fatalities. Team-and state-level data were also used for analysis to better understand the context in which recommendations are made. Over 300 recommendations for change from CFRT were grouped into 11 macro categories. The frequency of each type of recommendation and examples from each category are provided. The authors provide recommendations of their own for improvements in CFRT outputs.

show abstract

“…Statistically non-significant effect for the CON on CE is supported by other studies (Miller et al [2005]; Grabowski et al [2003]), which have found that states that repealed the CON program, saw little to no change in their cost structure. This coupled with the fact that the estimated cost function showed that increase in stitutional care resulted in declining cost upto a certain point, and increasing after that, which suggests that nursing homes and ICFMR may already be operating at less than full capacity.…”

Section: Discussionmentioning

confidence: 56%

Cost-efficiency in Medicaid long-term support services: the role of home and community based services

2013

View full text Add to dashboard Cite

Growth in home and community based services (HCBS) has been implicated in rising long-term care expenditure in the Medicaid program. Its efficiency impact has not been tested. Using Stochastic Frontier Analysis (SFA) and panel data methods, we evaluated the cost efficiency of long-term support services (LTSS) provided by state Medicaid agencies and examined its association with intensity of HCBS use. We compared the efficiency of state funded HCBS programs with federal waiver programs. We found substantial variation in cost efficiency of LTSS programs by states, but all showed improvement over time related to increased HCBS use. Higher participation in federal waivers programs yielded additional improvements in cost-efficiency. Results indicate that increasing HCBS services targeted at “high need” population and developmentally disabled individuals would improve efficiency in LTSS delivery. These results reveal the importance of measuring and comparing efficiencies across Medicaid funded LTSS programs, as we introduce reforms in the LTSS delivery system. We recommend that Medicaid agencies invest in the development of improved data sources for the estimation of cost efficiencies of their programs.

show abstract

Variation by Disability in State Predictors of Medicaid 1915c Waiver Use and Expenditures

Abstract: Increased community-based-care capacity appears to be an important factor in efforts to expand the availability of Medicaid community-based care. Federal policies that address state resource issues may also spur growth in community-based long-term care.

Cited by 14 publications

References 20 publications

Medicaid 1915(c) Waiver Use and Expenditures for Persons Living With HIV/AIDS

Medicaid 1915(c) Waiver Use and Expenditures for Persons Living With HIV/AIDS

Recommendations from child fatality review teams: results of a US nationwide exploratory study concerning maltreatment fatalities and social service delivery

Cost-efficiency in Medicaid long-term support services: the role of home and community based services

Contact Info

Product

Resources

About