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AARP: States Lag In Keeping Medicaid Enrollees Out Of Nursing Homes

States are creation temperate swell assisting millions of aged and infirm people on Medicaid equivocate dear nursing home caring by arranging home or village services for them instead, according to an AARP news expelled Wednesday.

“Although many states have gifted medium improvements over time, a gait of change is not gripping adult with demographic demands,” pronounced a report, that compared states’ efforts to urge long-term caring services over a past several years. AARP’s initial dual reports on a theme were in 2011 and 2014.

The classification ranked states’ opening on long-term caring benchmarks such as supply of home health aides, nursing home costs, prolonged nursing home stays, a practice rate of people with disabilities and support for operative caregivers.

With 10,000 people a day branch 65 and a eldest baby boomers commencement to spin 80 in 2026, a direct for long-term caring services is approaching to soar in entrance years.

AARP officials pronounced a House’s check to dissolution a Affordable Care Act would wear a conditions by capping annual sovereign income for states’ Medicaid programs. That check is now before a Senate.

“The due cuts to Medicaid — a largest open payer of long-term assistance — would outcome in millions of comparison adults and people with disabilities losing lifesaving supports,” pronounced Susan Reinhard, comparison clamp boss and executive of a AARP Public Policy Institute.

The news found strikingly far-reaching variances in a share of state Medicaid spending for long-term caring destined to home- and community-based services for aged and infirm adults in 2014, a latest year for information covering all states. Minnesota, a top-ranked state, spent about 69 percent, though Alabama, ranked last, spent reduction than 14 percent.

Nationwide, a normal edged adult from 39 percent in 2011 to 41 percent in 2014.

Only 9 states and a District of Columbia spent some-more on home- and community-based services than on nursing home care, according to a report. Such services embody home health care, caregiver training and adult day care.

People branch 65 this year face about a 50-50 possibility of wanting long-term caring services in their lifetime, AARP officials said.

Trish Riley, executive executive of a National Academy for State Health Policy, pronounced states face several obstacles to enhance home- and community-based options. They embody a clever nursing home run that does not wish to give adult a Medicaid dollars and a necessity of travel and housing options, quite in farming areas.


An Alabama Medicaid mouthpiece pronounced a state is operative on a emanate highlighted by AARP though refused to criticism on a report.

John Matson, a orator for a Alabama Nursing Home Association, deserted a idea that nursing homes are to blame. “We consider it’s a change that needs to occur in Alabama. … We can’t build adequate nursing homes to accommodate [the needs of] everybody that is coming,” he said.

The state’s bid to change Medicaid patients from long-term caring into managed caring organizations starting subsequent year will help, since those entities will have a financial inducement to keep people during home for caring when possible, Matson said.

Reinhard pronounced many states have struggled to enhance home- and community-based options for Medicaid enrollees wanting long-term caring since that is an discretionary benefit. Nursing homes are imperative underneath sovereign law. While states concentration on Medicaid coverage for children and families — as good as non-disabled adults lonesome by a Medicaid enlargement underneath a Affordable Care Act — adults with disabilities have perceived reduction attention.

“Long-term caring is a stepchild of a module and not a tip concentration for states,” she said.

To perspective a full report, go to www.longtermscorecard.org. The news was saved by a AARP Foundation, The Commonwealth Fund and The SCAN Foundation.

KHN’s coverage of aging and long-term caring issues is upheld by The SCAN Foundation.

Categories: Cost and Quality, Medicaid

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