Community care demonstrations: what have we learned?
Date of Pub
Applebaum, Robert; Harrigan, Margaret
Based on a review of community care demonstrations, we conclude that expanding public financing of community services beyond
what already exists is likely to increase costs. Small nursing home cost reductions are more than offset by the increased
costs of providing services to those who would remain at home even without the expanded services. However, expanded community
services appear to make people better off and not to cause substantial reductions in family caregiving. Policymakers should
move beyond asking whether expanding community care will reduce costs to addressing how much community care society is willing
to pay for, who should receive it, and how it can be delivered efficiently.
Community Health Services/economics : Costs and Cost Analysis : Evaluation Studies : Financing, Government/methods : Health
Services Research/trends : Home Care Services/economics : Institutionalization/economics : Pilot Projects : Quality of Life
: Statistics : Support, Non-U.S. Gov't : Support, U.S. Gov't, Non-P.H.S. : United States