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...

This report examines trends in the provision of post-acute care to beneficiaries with diagnoses indicating a need for complex medical care for the years 1998-2006, with special attention to changes in care provided by long-term care hospitals and hospital-based skilled nursing facilities. It...

This brief examines the differences in the use and cost of personal assistance services in states that do and do not provide these services through their state plans. States that offer these services through their state plans appear to provide them to a greater number of beneficiaries at a lower...

The MFP demonstration is the most ambitious program to date aimed at helping Medicaid enrollees transition from long-term care institutions to the community. This report, the first in a new series, assesses the scope of the program—profiling the Medicaid population in long-term...

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 report summarizes the progress of Money Follows the Person (MFP) grant programs in 33 states and the District of Columbia. It examines numbers of people who transitioned, reinstitutionalization rates, achievement of spending goals on Medicaid home and community-based services, and major...

To help transform primary care delivery and support the patient-centered medical home, the Health Information Technology for Economic and Clinical Health (HITECH) Act supports adoption and meaningful use of electronic health records. This brief offers policy options that could ensure health...

Looks at effects on informal caregivers and the experiences of hired workers. Caregivers for consumers in the treatment group reported more satisfaction, less worry, and less physical and emotional strain than caregivers for the control group. Directly hired workers received wages comparable to...