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Home and community-based waivers for disabled adults: program versus selection effects.

Publication ,  Journal Article
Van Houtven, CH; Domino, ME
Published in: Inquiry
2005

This paper addresses whether changes in expenditures from participation in a Medicaid home and community-based waiver are due to selection effects or true program effects. We examined North Carolina Medicaid claims data (FY1998 to FY2000) for disabled or blind adults likely to need facility-based care using two-part expenditure models for nursing home, inpatient, and total expenditures. Instrumental variables estimation controlled for selection into the program. Although no savings in total costs were found in this sample, significant decreases were found in the level of nursing home and hospital inpatient expenditures for waiver participants, achieving the goals of the home and community-based waiver program.

Duke Scholars

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Published In

Inquiry

DOI

ISSN

0046-9580

Publication Date

2005

Volume

42

Issue

1

Start / End Page

43 / 59

Location

United States

Related Subject Headings

  • United States
  • Severity of Illness Index
  • North Carolina
  • Middle Aged
  • Medicaid
  • Male
  • Humans
  • Health Policy & Services
  • Female
  • Eligibility Determination
 

Citation

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ICMJE
MLA
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Van Houtven, C. H., & Domino, M. E. (2005). Home and community-based waivers for disabled adults: program versus selection effects. Inquiry, 42(1), 43–59. https://doi.org/10.5034/inquiryjrnl_42.1.43
Van Houtven, Courtney Harold, and Marisa Elena Domino. “Home and community-based waivers for disabled adults: program versus selection effects.Inquiry 42, no. 1 (2005): 43–59. https://doi.org/10.5034/inquiryjrnl_42.1.43.
Van Houtven, Courtney Harold, and Marisa Elena Domino. “Home and community-based waivers for disabled adults: program versus selection effects.Inquiry, vol. 42, no. 1, 2005, pp. 43–59. Pubmed, doi:10.5034/inquiryjrnl_42.1.43.
Journal cover image

Published In

Inquiry

DOI

ISSN

0046-9580

Publication Date

2005

Volume

42

Issue

1

Start / End Page

43 / 59

Location

United States

Related Subject Headings

  • United States
  • Severity of Illness Index
  • North Carolina
  • Middle Aged
  • Medicaid
  • Male
  • Humans
  • Health Policy & Services
  • Female
  • Eligibility Determination