Public Funding for Long-Term Care Services for Older People in Residential Care Settings
O'Keeffe, J., & Wiener, J. (2004). Public Funding for Long-Term Care Services for Older People in Residential Care Settings. Journal of Housing for the Elderly, 18(3/4), 51-79. DOI: 10.1300/J081v18n03_03
State interest in funding residential care through Medicaid is fueled by a desire to offer a full array of home and community-based services (HCBS), reduce nursing home utilization, and achieve the economies of scale of nursing home care without the undesirable institutional characteristics. This paper focuses on state policies-particularly Medicaid policies-that affect access to and the availability and quality of publicly financed residential care for people of limited financial means.