Health Services Research
Latest posts by Health Services Research (see all)
- Young Adult Dependent Coverage: Were the State Reforms Effective? A Critique and a Response - May. 21, 2015
- Drawing Plausible Inferences about the Impact of State Dependent Coverage Expansions - May. 21, 2015
- Estimating True Resource Costs of Outpatient Care for Medicare Beneficiaries: Standardized… - May. 19, 2015
- Medicaid Expansions and Crowd-Out: Evidence from HIFA Premium Assistance Programs - May. 18, 2015
Objective To test the relationship between older Americans Act (OAA) program expenditures and the prevalence of low-care residents in nursing homes (NHs). Data Sources and Collection Two secondary data sources: State Program Reports (state expenditure data) and NH facility-level data downloaded from LTCfocUS.org for 16,030 US NHs (2000–2009). Study Design Using a two-way fixed effects model, we examined the relationship between state spending on OAA services and the percentage of low-care residents in NHs, controlling for facility characteristics, market characteristics, and secular trends. Principal Findings Results indicate that increased spending on home-delivered meals was associated with fewer residents in NHs with low-care needs. Conclusions States that have invested in their community-based service networks, particularly home-delivered meal programs, have proportionally fewer low-care NH residents.
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