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Does Medicaid Hcbs Generosity Influence Nursing Home Placement for Dually Eligible Adrd Patients?
S. Wang, Di Yan, Helena Temkin‐Greener, Shubing Cai. Health Services Research, 2020-08-01
Topic: Risk, prevention and care in population studies
After accounting for individual and county level covariates, we found that a 10 percentage‐point increase in HCBS breadth among individuals with ADRD was associated with 1.1 percentage point reduction (P < 0.01) in the likelihood of NH placement. Greater HCBS breadth was associated with less physical impairment (10 percentage‐point increase led to 0.93 and 0.91 times the likelihood of having moderate or severe physical impairment [P < 0.01]). Conclusions Among community‐dwelling duals with ADRD, Medicaid HCBS breadth was associated with a lower likelihood of NH placement, and HCBS intensity was associated with greater physical impairment at NH admission.
Key findings
- After accounting for individual and county level covariates, we found that a 10 percentage‐point increase in HCBS breadth among individuals with ADRD was associated with 1.1 percentage point reduction (P < 0.01) in the likelihood of NH placement.
- Greater HCBS breadth was associated with less physical impairment (10 percentage‐point increase led to 0.93 and 0.91 times the likelihood of having moderate or severe physical impairment [P < 0.01]).
- Conclusions Among community‐dwelling duals with ADRD, Medicaid HCBS breadth was associated with a lower likelihood of NH placement, and HCBS intensity was associated with greater physical impairment at NH admission.
Why it matters
This study found that greater breadth of Medicaid home- and community-based services was linked to a lower likelihood of nursing home placement among people with Alzheimer's disease and related dementias. It does not test any treatment, cure or prevention, but examines how long-term care policy may affect where people live.
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Study details
- Participants365
- Effect size17.1%
- Evidence strengthLow
How this study scored 40/100
Published in a peer-reviewed journal. Scored zero for study design and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Health Services Research) |
| Journal's citation record | 2 / 4 | Health Services Research: journal h-index 166 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2020 — within 10 year(s) of the newest study here |
| Sample size | 2 / 4 | 365 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 7 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.9 citations a year over 8 year(s) since 2020 |
| Impact for its field and year | 1 / 6 | Cited 0.5× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 5 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Shubing Cai: h-index 21 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | University of Rochester: institution h-index 1,195 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Total | 40 / 100 | — |
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Read the original
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Wang, S., Yan, D., Temkin‐Greener, H., & Cai, S. (2020). Does Medicaid Hcbs Generosity Influence Nursing Home Placement for Dually Eligible Adrd Patients? Health Services Research. https://doi.org/10.1111/1475-6773.13356
Vancouver
Wang S, Yan D, Temkin‐Greener H, Cai S. Does Medicaid Hcbs Generosity Influence Nursing Home Placement for Dually Eligible Adrd Patients? Health Services Research. 2020. doi:10.1111/1475-6773.13356.
BibTeX
@article{wang2020-4078a851,
author = {Wang, S. and Yan, Di and Temkin‐Greener, Helena and Cai, Shubing},
title = {{Does Medicaid Hcbs Generosity Influence Nursing Home Placement for Dually Eligible Adrd Patients?}},
journal = {Health Services Research},
year = {2020},
doi = {10.1111/1475-6773.13356},
url = {https://doi.org/10.1111/1475-6773.13356}
}
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