Forefront: Expanding States’ Medicaid Capacity
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Thursday, October 6, 2022 | The Latest Research, Commentary, And News From Health Affairs
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Younger Nursing Home Residents
Although there have been substantial efforts to reduce the number of elderly adults in nursing homes, October issue authors Ari Ne’eman and colleagues find little change in nursing home use for people with disabilities who are younger than age sixty-five.

Using data from 2013-19, Ne’eman and colleagues indicate that rates of state-level nursing home placement stagnated or grew among those younger than age sixty-five.

According to Ne’eman and colleagues, younger residents are more likely to be men, be members of a racial or ethnic minority, and reside in a lower-quality and for-profit nursing home as compared to older nursing home residents.

The authors examine the value of considering younger people with disabilities as a distinct population, and provide policy ideas to divert this population from nursing homes to home and community-based settings.

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Deepak Tilani et al.
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Elsewhere At Health Affairs
Today in Forefront, Brianna Ensslin Janoski and coauthors examine the California Department of Health Care Services’ Office of Medicare Innovation and Integration's efforts to improve health outcomes, quality, affordability, and equity for all Medicare beneficiaries in California.

This article is part of a Forefront series on Medicare and Medicaid integration, produced with the support of Arnold Ventures.

Mariana Socal and coauthors assess the unintended consequences of the Medicare Part D out-of-pocket cap, and propose a potential policy alternative that would forgo the use of coinsurance as a requirement in all coverage phases.

Katie Keith writes about several new developments related to the Affordable Care Act (ACA) and the No Surprises Act.

Elevating Voices - Hispanic Heritage Month: In a July 2022 Forefront article, Gabriela Gracia and coauthors explore the perspectives of venture capitalists, the most prominent funders of new drug development by early-stage biotech companies.

Are you enjoying articles from Forefront? Join Health Affairs Insider to show your support for high-value health policy news, commentary, and analysis.

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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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