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