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MEDICAID FINANCING AND SEGREGATION OF DUALS IN ASSISTED LIVING

We used 2018 Medicare enrollment data, a national directory of licensed ALs, and Medicaid state policies. We identified a cohort of 474,661 AL residents and a comparison cohort of 58,911,266 community-residing individuals. We compared the distribution of duals across ALs to the distribution of commu...

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Detalles Bibliográficos
Autores principales: Thomas, Kali, Cornell, Portia, Hua, Cassandra, Rahman, Momotazur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9765950/
http://dx.doi.org/10.1093/geroni/igac059.1653
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author Thomas, Kali
Cornell, Portia
Hua, Cassandra
Rahman, Momotazur
author_facet Thomas, Kali
Cornell, Portia
Hua, Cassandra
Rahman, Momotazur
author_sort Thomas, Kali
collection PubMed
description We used 2018 Medicare enrollment data, a national directory of licensed ALs, and Medicaid state policies. We identified a cohort of 474,661 AL residents and a comparison cohort of 58,911,266 community-residing individuals. We compared the distribution of duals across ALs to the distribution of community-dwelling duals across ZIP codes by taking the ratio of AL Gini index for each state over the community Gini index for each state (the “Gini ratio” or GR). On average, states with both waivers and state plans covering services in AL had the lowest Gini ratio (less segregated than community; GR=0.87;) States with no Medicaid financing for AL had the highest Gini ratio (more segregated than community, GR=1.16). Medicaid coverage for home and community-based services in AL is associated with increased access to AL for duals.
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spelling pubmed-97659502022-12-20 MEDICAID FINANCING AND SEGREGATION OF DUALS IN ASSISTED LIVING Thomas, Kali Cornell, Portia Hua, Cassandra Rahman, Momotazur Innov Aging Abstracts We used 2018 Medicare enrollment data, a national directory of licensed ALs, and Medicaid state policies. We identified a cohort of 474,661 AL residents and a comparison cohort of 58,911,266 community-residing individuals. We compared the distribution of duals across ALs to the distribution of community-dwelling duals across ZIP codes by taking the ratio of AL Gini index for each state over the community Gini index for each state (the “Gini ratio” or GR). On average, states with both waivers and state plans covering services in AL had the lowest Gini ratio (less segregated than community; GR=0.87;) States with no Medicaid financing for AL had the highest Gini ratio (more segregated than community, GR=1.16). Medicaid coverage for home and community-based services in AL is associated with increased access to AL for duals. Oxford University Press 2022-12-20 /pmc/articles/PMC9765950/ http://dx.doi.org/10.1093/geroni/igac059.1653 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Thomas, Kali
Cornell, Portia
Hua, Cassandra
Rahman, Momotazur
MEDICAID FINANCING AND SEGREGATION OF DUALS IN ASSISTED LIVING
title MEDICAID FINANCING AND SEGREGATION OF DUALS IN ASSISTED LIVING
title_full MEDICAID FINANCING AND SEGREGATION OF DUALS IN ASSISTED LIVING
title_fullStr MEDICAID FINANCING AND SEGREGATION OF DUALS IN ASSISTED LIVING
title_full_unstemmed MEDICAID FINANCING AND SEGREGATION OF DUALS IN ASSISTED LIVING
title_short MEDICAID FINANCING AND SEGREGATION OF DUALS IN ASSISTED LIVING
title_sort medicaid financing and segregation of duals in assisted living
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9765950/
http://dx.doi.org/10.1093/geroni/igac059.1653
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