For calendar year 2010, 28 states spent almost $23.6 billion on HCBS, with 80 percent of expenditures categorized as round-the-clock, home-based, and day services. Other services, such as case management, or equipment, modifications, and technology were widely used, but are not particularly...

As states make home- and community-based services (HCBS) more accessible, researchers have become more interested in understanding service use and spending, but analyzing HCBS at the national level can be challenging. With the development of the HCBS taxonomy—a uniform classification...

To better understand the population of Medicaid enrollees living in nursing homes or intermediate care facilities for individuals with intellectual disabilities (ICFs/IID), researchers analyzed data from the Medicaid Analytic eXtract (MAX) from 2006 and 2007 to determine the characteristics of...

This study found that community-dwelling individuals and nursing home residents treated by a geriatrician were less likely to use the emergency department (ED) than individuals treated by other providers. Compared with those with no geriatric care, the predicted probability of ED use in one...

This report describes patterns of Medicaid nursing home utilization for each state and nationally. The authors address the following questions: (1) What are the characteristics of people who use Medicaid nursing home services? (2) How do these people become eligible for Medicaid? (3) How long do...

This study found that community-dwelling individuals and nursing home residents treated by a geriatrician were less likely to use the emergency department (ED) than individuals treated by other providers. Compared with those with no geriatric care, the predicted probability of ED use in one...

We assessed transitions from Medicare-only to Medicare-Medicaid enrollment (MME) in 2009, examining variations in transition rates by age group, in use of long-term care (LTC) services, and across states.

This issue brief provides a concise description for decision makers of why and how to commission effective evaluations of patient-centered medical home demonstrations. The authors discuss what outcomes to assess, why to include comparison practices, and the importance of accounting for clustering.