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The evaluation of the national Cash and Counseling Demonstration enables researchers to rigorously analyze costs under agency-directed and consumer-directed approaches. In this report, the authors use results from Arkansas' IndependentChoices, the first of three Cash and Counseling demonstration programs to be implemented, to explore the program'
This report identifies three data sets as the most reliable and informative data sources for understanding low-income households' assets and liabilities: the Survey of Consumer Finances (SCF), the Survey of Income and Program Participation (SIPP), and the Panel Study of Income Dynamics (PSID). The report also details the limitations of these data
Trends in Residential Long-Term Care: Use of Nursing Homes and Assisted Living and Characteristics of Facilities and Residents
In this paper, the authors use data from the Medicare Current Beneficiary Survey, which represents the full Medicare population, regardless of living arrangement, to describe characteristics of elderly residents of both types of facility and the characteristics of the facilities. Our sample is limited to beneficiaries age 65 or older. They compare
Continuing Care Retirement Communities (CCRCs) are presently becoming a more viable option for seekers of long-term care for the elderly. CCRCs have been recognized for their unique strategy of combining various levels of health care within one community setting, as well as their potential for providing cost-effective care. As the industry undergo
This paper presents an overview of the results of the National Long-Term Care Channeling Demonstration, conducted in ten states to test the impact of a community-based system of long-term care upon the functionally disabled elderly. The study examines: program management; federal planning of the project; the objectives of the demonstration; the tw
Nursing Home Selection: How Do Consumers Choose? Volume I: Findings from Focus Groups of Consumers and Information Intermediaries
The goal of this report is to present a review of a subset of the Internet sites that may be used to inform a consumer's selection of a nursing facility. As part of this content review, the authors reviewed 29 websites; 13 websites were national in scope and 16 were state specific. The following states were considered in our search for and review
The purpose of this paper was to provide a synthesis and critique of current research on Medicaid spenddown. The primary goal was to ask what these studies could tell us about the extent to which persons incurred catastrophic expenses in nursing homes. A corollary goal was to examine how the data and research methods used in the various studies af
This report examined the current state of graduate medical education (GME) in the United States. It compiled quantitative data on the financing of GME and the demographics of the resident population. Based on site visits to five academic medical centers, the report also described the system of GME financing, administration, and oversight from the
This paper is the first to consider the Cash and Counseling program in all three states. It draws lessons about the structure and policies of a Cash and Counseling program, to provide information useful to other states considering adopting such a program. It draws on the experience of those responsible for the demonstration and evaluation at the C
This paper presents the Survey of Income and Program Participation data on child care for working guardians on AFDC. These guardians use care by relatives 58% of the time for their youngest children under 6. They are thus using informal care arrangements which are generally free or low cost instead of more formal arrangements, for which one genera