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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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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. |
format | Online Article Text |
id | pubmed-9765950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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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