A generally consistent finding of community-based long-term care demonstrations, including Channeling, is that these programs do not lead to net reductions in long-term care expenditures. Even though reducing nursing home costs was a goal of these demonstrations, none involved systematic managerial and resource allocation strategies specifically designed to research this goal.
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Advanced SearchReducing Nursing Home Use Through Community Long-Term Care: An Optimization Analysis Using Data from the National Channeling Demonstration
Vernon L. Greene, Ph.D., Mary E. Lovely, Ph.D., Mark D. Miller, M.S., and Jan I. Ondrich, Ph.D. Syracuse University
An Analysis of the Impact of Spend-down on Medicaid Expenditures
U.S. Department of Health and Human Services
A Synthesis and Critique of Studies on Medicaid Asset Spenddown
U.S. Department of Health and Human Services
Effects of Multiple Admissions on Nursing Home Use: Implications for "Front-end" Policies
This study analyzes data from the 1985 National Nursing Home Survey to examine the phenomenon of multiple nursing home admissions. This is done in order to determine the number of individuals who would be fully covered if "front-end" nursing home coverage options were enacted.
Recent Changes in Service Use Patterns of Disabled Medicare Beneficiaries
U.S. Department of Health and Human Services
The Effect of Nursing Home Use on Medicaid Eligibility
This paper presents results of a descriptive analysis of the effects of nursing home use of Medicaid eligibility status. Data from the 1982 and 1984 National Long-Term Care Surveys were used to "track" a cohort of disabled elderly persons residing in the community in 1982 over the following two years.
The Use, Cost, and Economic Burden of Nursing Home Care in 1985
This study uses the 1985 National Nursing Home Survey to examine the use and cost of nursing home care among the elderly population of the United States. The following questions are addressed: How many persons aged 65+ use nursing homes in a given year? How do they stay and what are their annual charges? How often, and to what extent, do residents "spenddown" to Medicaid?
Risks of Entering Nursing Homes for Long and Short Stays
This paper describes research to estimate the rates of nursing home admissions and to identify the determinants of long and short stays in nursing homes. The research employed data available from the 1982 and 1984 National Long-Term Care Surveys. Hence, the results are both nationally representative and indicative of nursing home use patterns by the disabled elderly population.