The purpose of this project was to improve our understanding of how states allocate long term care (LTC) resources. The three main objectives of this two-year study were to:
- develop a framework for analyzing the allocation strategies and mechanisms used successfully by states to alter their LTC priorities and increase their relative investment in home and community-based services (HCBS);
- compare state expenditure patterns and specific allocation strategies -- including targeting mechanisms used to allocate services to individual beneficiaries -- and their relationship to broad-based change strategies; and
- disseminate useful information on alternative approaches to allocating resources to HCBS to state policy makers, as well as to more specialized provider, consumer and research groups.
To accomplish these objectives we carried out a comprehensive literature review, conducted a phone/mail survey of State Units on Aging and Medicaid Departments, visited 6 case-study states, and analyzed state expenditures on LTC services used by elders during the 1992-1997 time period.
This project was completed in the Fall of 1999.
Publications
Murtaugh, C.M., Sparer, M.S., Feldman, P.H., Lee, J.S., Basch, A., Sherlock, A., and Clark, A.L. 1999.
Fact Sheet: State Strategies for Allocating Resources to Home and Community-Based Care.
NY: Center for Home Care Policy and Research, Visiting Nurse Service of NY.
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