The Impact of Introducing Managed Care Intermediaries for Long‐Term Services and Supports DOI
Deepon Bhaumik, Jacob Wallace, David C. Grabowski

et al.

Health Services Research, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 27, 2025

ABSTRACT Objective To study the impact of managed long‐term services and supports (MLTSS) on use care, as well acute care. Study Setting Design We a staggered difference‐in‐differences (DiDs) regression design, exploiting variation in timing rollout MLTSS programs across states between 2004 2018. compared individuals that implemented with did not implement MLTSS. Our outcomes included formal home care use, nursing status, informal hospitalizations, overnight visits, falls. Data Source Analytic Sample This uses secondary data from Health Retirement data, linked state identifiers. The sample includes adults aged 65 older who report at least one functional limitation. Principal Findings shift to leads 2.5 percentage point (pp) increase (95% CI: 0.8 pp, 4.3 pp) users, 3‐percentage decrease −5.38 −0.25 no statistically significant change occupancy or health outcomes. also find suggestive evidence reductions number living receive, 7.02‐h −12.96, −1.07), nearly 27% decrease, monthly received by this population. Conclusion These findings suggest increased share community‐based (HCBS) users but restricted amount HCBS used per beneficiary, ambiguity around whether occurred expense beneficiaries.

Language: Английский

The Impact of Introducing Managed Care Intermediaries for Long‐Term Services and Supports DOI
Deepon Bhaumik, Jacob Wallace, David C. Grabowski

et al.

Health Services Research, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 27, 2025

ABSTRACT Objective To study the impact of managed long‐term services and supports (MLTSS) on use care, as well acute care. Study Setting Design We a staggered difference‐in‐differences (DiDs) regression design, exploiting variation in timing rollout MLTSS programs across states between 2004 2018. compared individuals that implemented with did not implement MLTSS. Our outcomes included formal home care use, nursing status, informal hospitalizations, overnight visits, falls. Data Source Analytic Sample This uses secondary data from Health Retirement data, linked state identifiers. The sample includes adults aged 65 older who report at least one functional limitation. Principal Findings shift to leads 2.5 percentage point (pp) increase (95% CI: 0.8 pp, 4.3 pp) users, 3‐percentage decrease −5.38 −0.25 no statistically significant change occupancy or health outcomes. also find suggestive evidence reductions number living receive, 7.02‐h −12.96, −1.07), nearly 27% decrease, monthly received by this population. Conclusion These findings suggest increased share community‐based (HCBS) users but restricted amount HCBS used per beneficiary, ambiguity around whether occurred expense beneficiaries.

Language: Английский

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