J. Bradford Rice (Department of Economics, Boston University, Boston, MA, USA) Judith D. Kasper (Department of Health Policy and Management, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA) Liliana E. Pezzin (Department of Medicine and Health Policy Institute, Medical College of Wisconsin, Milwaukee, WI, USA)
Abstract
Individuals with dual enrollment in Medicare and Medicaid have become the focus of heightened US federal and state policy interest in recent years. These beneficiaries are among the most vulnerable and costly persons served by either program. This analysis uses a reduced-form econometric model and a unique survey of community-resident dual enrollees to take a critical step toward understanding the relationships and combinations of state long-term care (LTC) policies and their relative effectiveness in achieving their intended effects: increasing access to care, improving activities of daily living|instrumental activities of daily living (ADL|IADL) assistance, and reducing unmet needs. We then simulate the effects of alternative policies to determine the most effective combination.
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Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.
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