New York spends more than any other state, $2.39 billion ('99 data), on home and community-based care. New York's decision to emphasize community-based services dates back to the early 70's when New York converted its public-assistance home-attendant program into a Medicaid personal care program. In1978, New York created the Long Term Home Health Care Program, also known as the "the nursing home without walls.
By the early 90's state monitoring of Medicaid spending for home and community-based services led to the enactment of a number of measures to restrain growth. Today, New York serves as a "learning lab" for the assessment of a wide array of home and community-based programs, including a capitated model in which home care providers are also insurers. The variation in programs, budgetary constraints, and worker shortage have led to a political dynamic that provides lessons for other states.
Learning Objectives: Learn how variations in programmatic approaches, in budgetary constraints, and in availability of workers have politically affected state support of home and community-based programs
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.