This Congressional Research Service report analyzes state strategies for containing long-term care costs for older people. To improve finance and delivery systems, states are expanding home and community-based services and are integrating acute and long-term care services through the use of managed care. States are also seeking to substitute private, Medicaid, and Medicare financing for state funding through tax incentives, private long-term care insurance, and establishing public/private partnership. None of these strategies has contributed much to containing long-term care costs. If faced with an economic downturn, count on states to rely on traditional strategies - such as cutting reimbursement rates and controlling nursing home supply - which run counter to the demographic imperative of the aging baby boom generation. Congressional Research Service Report for Congress; May 2000. Available at http://www.urban.org/UploadedPDF/1000056.pdf.
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