TY - JOUR
T1 - Examining variation in state spending on medicaid long-term services and supports for older adults
AU - Mellgard, George
AU - Ankuda, Claire
AU - Rahman, Omari Khalid
AU - Kelley, Amy
N1 - Funding Information:
The HRS is sponsored by the National Institute on Aging (grant number NIA U01AG009740) and the Social Security Administration and is conducted by the University of Michigan. ASK receives support from the National Institute on Aging (K24-AG062785). GSM received support from the Mount Sinai Patricia S. Levinson Summer Research Award. Funding sources had neither a role in the design, conduct, and analysis of this study, nor in the decision to submit the manuscript for publication. The authors thank Katelyn Ferreira, Mohammad Husain, Evan Bollens-lund, and Katherine Ornstein.
Publisher Copyright:
© 2021 Taylor & Francis.
PY - 2022
Y1 - 2022
N2 - State Medicaid programs are the largest source of funding for long-term services and supports (LTSS). We characterized states across quartiles of mean LTSS spending for individuals ≥65 and used the Health and Retirement Study to examine the demographic, functional, and caregiving characteristics across these quartiles. Individuals in states with lower Medicaid spending on LTSS reported more family and friend caregiving hours and were more likely to be from racial and ethnic minority groups. Continued work is needed to improve Medicaid LTSS policy to better support vulnerable populations, particularly in lower quartile states.
AB - State Medicaid programs are the largest source of funding for long-term services and supports (LTSS). We characterized states across quartiles of mean LTSS spending for individuals ≥65 and used the Health and Retirement Study to examine the demographic, functional, and caregiving characteristics across these quartiles. Individuals in states with lower Medicaid spending on LTSS reported more family and friend caregiving hours and were more likely to be from racial and ethnic minority groups. Continued work is needed to improve Medicaid LTSS policy to better support vulnerable populations, particularly in lower quartile states.
KW - Medicaid
KW - aging
KW - long-term services and support
UR - http://www.scopus.com/inward/record.url?scp=85119872015&partnerID=8YFLogxK
U2 - 10.1080/01621424.2021.2004286
DO - 10.1080/01621424.2021.2004286
M3 - Article
C2 - 34812119
AN - SCOPUS:85119872015
SN - 0162-1424
VL - 41
SP - 54
EP - 64
JO - Home Health Care Services Quarterly
JF - Home Health Care Services Quarterly
IS - 1
ER -