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- W810590951 abstract "An initial analysis of expenditures finds evidence that total Medicaid and Medicare expenditures decline, sometimes substantially so, during the first 12 months after someone transitions from institutional care to home and community-based services (HCBS). The posttransition total expenditures of MFP participants are similar to or greater than those of a matched sample of others who transition without the benefit of MFP. For people with physical disabilities or mental illness, MFP participation is associated with increased post-transition total expenditures, but there is no association between MFP participation and post-transition total expenditures for older adults or people with intellectual disabilities. For everyone who transitions, expenditures for long-term services and supports (LTSS) shift from institutional care to HCBS as expected. After the transition, MFP participants have greater average HCBS expenditures compared to other transitioners with similar characteristics, which reflects the additional services MFP programs provide. However, MFP participants typically have lower post-transition Medicaid and Medicare medical care expenditures. Thus, MFP participants’ higher HCBS expenditures are partially offset by the higher medical expenditures experienced by other transitioners. This evidence suggests that MFP programs may be effective at helping many participants avoid acute care episodes that could lead to a return to institutional care." @default.
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- W810590951 date "2014-10-30" @default.
- W810590951 modified "2023-09-27" @default.
- W810590951 title "The Changing Medical and Long-Term Care Expenditures of People Who Transition from Institutional Care to Home- and Community-Based Services" @default.
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