Preview

It’s widely documented that people receiving long-term care prefer to receive it in their homes or in community-based settings rather than institutions.

To meet this demand, state Medicaid programs have expanded access to home and community-based services through waivers.

In this month’s issue of Health Affairs, Meghan Skira and coauthors document trends from the period 1997–2020 in waivers targeting older adults, focusing on services offered.

They find that between 1999 and 2017, waivers broadened coverage to a wider range of services, including an increase in coverage for services that support self-direction. Section 1915(c) waiver spending increased across all service categories during this period.

The authors note momentum for expanding home and community-based care, partially fueled by the COVID-19 pandemic. They note that additional research is needed to understand which bundles of services improve access and outcomes.

For all Health Affairs’ Age-Friendly Health content, supported by the John A. Hartford Foundation, visit our website.

We are now accepting applications for the 2023 Health Equity Fellowship for Trainees (HEFT).

The Fellowship is part of Health Affairs’ national initiative to advance racial equity in health policy and health services scholarly publishing.

HEFT offers fellows multilayered mentorship from experienced Health Affairs authors and editorial staff for one year (from January 2023 to December 2023). Mentors work with fellows to make manuscript submissions by fellows more likely to be published in the journal.

The deadline to apply is September 19, 2022.

About Health Affairs

Health Affairs is the leading peer-reviewed journal at 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.

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