Thursday, May 18, 2023 | The Latest Research, Commentary, And News From Health Affairs
Dear John,
On May 23, Health Affairs will host a Lunch and Learn focused on racial equity in scholarly publishing, featuring Michelle Ko, a member of the Health Affairs Health Equity Advisory Committee, and Tulane University Assistant Professor Andrew Anderson, a recent graduate of the Health Affairs Health Equity Fellows Training (HEFT) program.
In the United States, home and community-based services (HCBS) are the primary approach to delivering long-term services and supports (LTSS). Medicaid is the primary payer for LTSS
and its expansion of HCBS coverage has shifted LTSS out of institutions and into homes.
In an article published this month, Amanda Rae Kreider and Rachel Werner examine trends in the supply of home care workers relative to Medicaid HCBS enrollment from 2008 to 2020.
Analyzing national data on home care workers and Medicaid HCBS
participants in the United States, the authors find that the home care workforce grew by 76,000 workers per year between 2008-2013, but after 2013, growth slowed to 33,000 workers per year.
Conversely, Medicaid HCBS participation grew continuously from 2008-2020 and accelerated between 2013-2020.
The growth in HCBS participation increased overall demand for paid home-based care without an increased workforce capacity, resulting in a 11.6 percent decline in the number of home care workers per 100 HCBS participants between 2013 and 2019, "with preliminary estimates suggesting further declines in 2020," Kreider and Werner report.
During May, we're highlighting influential Asian American, Native Hawaiian, and Pacific Islander voices and organizations
who have made an impact on health equity and policy.
Since 2001, NAAPIMHA has empowered AANHPI communities by providing resources, promoting suicide prevention, and improving access to quality and affordable mental health services.
Test your knowledge today on the question below:
Which of the following factors will CMS use in negotiating
the maximum fair price for prescriptions?
Evidence on the clinical benefit of the selected drugs
Health Affairs is launching a contest! The premise is simple. Finish the statement "You’re A Health Policy Wonk If…"
We'll share some of the submissions on Forefront in July, and the first-place winner of the contest will receive a Health Affairs tumbler and a free Unlimited membership for a year. Submit by May 31.
About Health Affairs
Health Affairs is the leading peer-reviewedjournalat the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking
content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.
Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.
