Research Report State Cost Containment Initiatives for Long-Term Care Services for Older People
Joshua M. Wiener, David G. Stevenson, Jessica Kasten
Display Date
Download Report
(151.87 KB)

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. Secondly, states are 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.
Research Areas Health and health care Aging and retirement
Tags Health insurance Health care delivery and payment Medicaid and the Children’s Health Insurance Program  Community-based care Medicare Long-term services and support