Managed Medicaid Long-Term Services and Supports is the Answer, But What is the Question?

A Presentation for the Annual Meeting of the Gerontological Society of America, November 2018:

  • Medicaid expenditures (25%) continue to dominate state policy
  • HCBS Waivers Have Grown Dramatically over the past two decades
  • The expansion means that HCBS and Nursing Homes need to be managed
  • States have been trying to shift risk– financial and management to others
  • Two populations that states worry about: Duals and Medicaid only LTSS
  • Duals are 21 percent of Medicare and 15 percent of Medicaid populations, but health and long-term care costs account for 36 % of Medicare and 39%  of Medicaid
  • Medicaid LTSS 15-20% of 60 plus and vast majority of under 60 age group

– Bob Applebaum, Miami University

Download the full presentation here.