AIDS Home-- and Community-Based Waivers: Effects on Use of Services, Expenditures, and Survival.
State Medicaid home- and community-based waiver programs for persons with AIDS (PWAs) were implemented with the expectation that PWAs would use these services in lieu of more expensive hospital-based care. If so, Medicaid spending per PWA should decline, and program costs fall. We analyze Florida Me...
| Publicado en: | Southern Economic Journal Vol. 71; no. 1; pp. 60 - 78 |
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| Autores principales: | , |
| Formato: | Artículo |
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Wiley-Blackwell
Jul2004
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=13989972&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 13989972 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00384038 SEJ jtl: Southern Economic Journal issn: 00384038 maglogo: N pubinfo: dt: Jul2004 vid: 71 iid: 1 pid: 480 pub: Wiley-Blackwell artinfo: ui: 13989972 10.2307/4135310 ppf: 60 ppct: 18 formats: fmt: @attributes: type: P size: 2.6MB tig: atl: AIDS Home-- and Community-Based Waivers: Effects on Use of Services, Expenditures, and Survival. aug: au: Anderson, Kathryn Mitchel, Jean affil: Department of Economics, Vanderbilt University, Box 351819 Station B, Nashville, TN 37235-1819, USA Georgetown Public Policy Institute, Georgetown University, 3600 N Street NW, Suite 200, Washington, DC 20007, USA su: Medical economics Medical care Health policy Social sciences AIDS patients Theory sug: subj: Medical economics Medical care Health policy Social sciences Administration of Public Health Programs Research and Development in the Social Sciences and Humanities AIDS patients Theory ab: State Medicaid home- and community-based waiver programs for persons with AIDS (PWAs) were implemented with the expectation that PWAs would use these services in lieu of more expensive hospital-based care. If so, Medicaid spending per PWA should decline, and program costs fall. We analyze Florida Medicaid claims data for PWAs from December 1995 through December 1997 to determine how participation in the waiver program affects the use of inpatient services, the receipt of antiretroviral combination therapies (available to Medicaid recipients throughout the study period), monthly expenditures, and survival of PWAs. We find that waiver participants are more likely to receive combination therapies but less likely to use hospital-based care than nonparticipants; white men and sicker patients are more likely to join the waiver program than other eligible PWAs; monthly expenditures for waiver participants are 52% lower than for nonparticipants; and waiver participation does not affect survival. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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