National Long-Term Care Channeling Demonstration. Differential Impacts among Subgroups of Channeling Enrollees (Revised)

摘要

The report examines the variation among subgroups in impacts of the National Long Term Care Channeling Demonstration. In general there was substantial uniformity of Channeling impacts within the research sample. Differential impacts, where they existed, occurred primarily for nursing home use and expenditure variables. Both the Basic Case Management Model and the Financial Control Model showed reduced nursing home use and/or cost for the small fraction of the sample residing in a nursing home when screened into the program. The Financial Control Model also reduced nursing home use for those on a nursing home waitlist at screen, though this effect appears to be confined to persons not eligible for Medicaid.