The Changing Medical and Long-Term Care Expenditures of People Who Transition from Institutional Care to Home- and Community-Based Services

http://goo.gl/M94Q9y

An initial analysis of expenditures finds evidence that:     
  • Medicare and Medicaid expenditures often decline when Medicaid beneficiaries transition from institutional care to HCBS.
  • The effect of MFP on total expenditures varies by the target population that is transitioning.
  • MFP participants receive more HCBS when in the community compared to what other transitioners receive, and these additional services may reduce the use of costly medical services.
  • More work is needed to understand the effect of MFP and its additional HCBS on longer-term expenditures and health outcomes.