Containing use and expenditures in publicly insured long-term care programs.
Miller, Robert H
Date of Pub
British Columbia and Manitoba have the most developed and comprehensive publicly financed long-term care (LTC) programs in
North America. For U.S. policymakers, these programs are large-scale natural experiments with public LTC insurance. During
the 1980s, both provinces successfully contained the growth of public expenditures on nursing homes, and one province successfully
contained the growth of public expenditures on home support services, adjusting for population growth. Because provincial
cost-control methods are similar to those that some States already use, it is likely that managers could contain the growth
of public expenditures once a publicly insured U.S. LTC program was implemented. The level of public expenditure would depend
partly on the level of compensation for LTC sector personnel, which is relatively low in the United States.
Aged : British Columbia : Cost Control/methods : Data Collection : Health Expenditures/statistics & numerical data : Home
Care Services/economics/utilization : Homes for the Aged/economics/utilization : Human : Insurance, Long-Term Care/economics/utilization
: Manitoba : National Health Programs/economics : Nursing Homes/economics/utilization : United States : Utilization Review/statistics
& numerical data