Medicaid Home and Community-Based Services Initiation and Acute Services Use

Is initiation of Medicaid home and community-based services (HCBS) associated with changes in acute services use?In this cohort study among 1218 older adults across 11 states, Medicaid HCBS initiation was associated with a 24% decrease in within-person probability of emergency department use and a 32% decrease in inpatient discharge.Results of this study suggest that, among older adults with unmet need for Medicaid-funded long-term services and supports, initiation of Medicaid HCBS may reduce reliance on costly acute care services.

Corresponding Author: Emmaline Keesee, MSPH, Vanderbilt University, 2525 West End Ave, Nashville, TN 37203 (emma.c.keesee@vanderbilt.edu).

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