Abstract
Assisted living has become more widely used by dual-eligible Medicare beneficiaries as states try to rebalance their long-term services and supports away from institutional (nursing home) care. In an analysis of 2014 Medicare data for 506,193 adults who live in large (25+ beds) assisted living communities, we found wide variability among states in the share of assisted living residents who were dual-eligible, ranging from 6% in New Hampshire to over 40% in New York. This variation is strongly correlated with the Medicaid support for assisted living care: In states with a Medicaid state plan option covering services in assisted living or both a state plan and waiver, the percent of assisted living residents with dual-eligibility was more than 10 percentage points higher than in states with neither a state plan nor waiver. Findings provide a basis for understanding the role of Medicaid financing in access to assisted living for duals.
Original language | English (US) |
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Pages (from-to) | 69-77 |
Number of pages | 9 |
Journal | Medical Care Research and Review |
Volume | 79 |
Issue number | 1 |
DOIs | |
State | Published - Feb 2022 |
Keywords
- Medicaid waiver
- assisted living
- dual-eligibles
- long-term services and supports
- residential care
ASJC Scopus subject areas
- Health Policy