Mukamel and coauthors find that nursing home residents with ADRD-CI tend to be spread throughout nursing homes, rather than concentrated in particular sites.
They determine that fewer than half resided in nursing homes where those with ADRD-CI accounted for 60-90 percent of the nursing home’s census.
They write, "the majority of nursing homes… had a census ranging from 31 percent to 80 percent of residents with ADRD-CI."
These results suggest that most US nursing home residents could have limited access to the forms of specialized, high-quality care available in nursing homes that the authors find is associated with those nursing homes with more than 91 percent of residents with ADRD-CI.
In our recent June Journal Club event, "Continuous Eligibility And Coverage Policies Expanded Children's Medicaid Enrollment," with author Dr. Aditi Vasan, Health Affairs Insiders got an exclusive look at this June 2023 Health Affairs study assessing children’s Medicaid participation before and after enactment of the continuous coverage provisions of the Families First Coronavirus Response Act.
Dr. Vasan's key findings
included:
States newly adopting continuous coverage policies for children during the COVID-19 pandemic experienced a 4.6% relative increase in participation, corresponding to >655,000 additional beneficiaries
>1,000,000 Medicaid beneficiaries have been disenrolled since
April 2023
Median disenrollment rate by state is 40%, but there is a wide variation across states from 12% in Nebraska to 73% in Idaho
"Procedural disenrollments" compromise a large share of all Medicaid terminations in many states
The Congressional Budget Office projects that 15.5 million low-income Medicaid beneficiaries, including 5 million children, will lose coverage between April 2023 and October 2024
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