A 2018 report suggests that communities are moving toward more home- and community-based care options. The report on
Medicaid spending for LTSS(PDF, 6.9 MB, 154 pp) explains that, during Fiscal Year 2016, spending for home- and community-based services grew 10% while spending for institutional services fell 2%.
Additionally, a recently published
analysis of Medicaid data for 16 states (PDF, 1.5 MB, 27 pp) found that patients who received community-based LTSS prior to entering institutional care facilities had shorter stays at those facilities and were 3 times more likely to seek community-based care after their stay than patients who initially received LTSS in institutional settings.
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