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Medicare And Medicaid In Long-Term Care
Terence Ng1,
Charlene Harrington2,* and
Martin Kitchener3
1 Terence Ng is a senior research analyst in the Department of Social and Behavioral Sciences, University of California, San Francisco.
2 Charlene Harrington (charlene.harrington{at}ucsf.edu) is professor emeritus of sociology and nursing in the Department of Social and Behavioral Sciences, University of California, San Francisco.
3 Martin Kitchener is a professor of public sector management and policy, Cardiff Business School, Cardiff University, in Cardiff, Wales.
Medicare and Medicaid, two publicly funded health programs, both cover populations in need of long-term care, but they are poorly coordinated. Gaps often exist in some services while there is overlap in others. This can lead to inefficient delivery of services and confusion among program recipients and providers alike. Spending on postacute services in Medicare and long-term care services in Medicaid has grown more rapidly than enrollment in either program since 1999. Although growing numbers of people receive home and community-based services paid for by the two programs, there are wide variations across states and among target groups. The system of long-term care is in need of structural reform.
Key Words: Long-Term Care
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