{"id":"https://openalex.org/W2169610765","doi":"https://doi.org/10.1377/hlthaff.2009.0494","title":"Medicare And Medicaid In Long-Term Care","display_name":"Medicare And Medicaid In Long-Term Care","publication_year":2010,"publication_date":"2010-01-01","ids":{"openalex":"https://openalex.org/W2169610765","doi":"https://doi.org/10.1377/hlthaff.2009.0494","mag":"2169610765","pmid":"https://pubmed.ncbi.nlm.nih.gov/20048356"},"language":"en","primary_location":{"id":"doi:10.1377/hlthaff.2009.0494","doi":"https://doi.org/10.1377/hlthaff.2009.0494","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.2009.0494","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Terence Ng","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Terence Ng","raw_affiliation_strings":["Terence Ng is a senior research analyst in the Department of Social and Behavioral Sciences, University of California, San Francisco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Terence Ng is a senior research analyst in the Department of Social and Behavioral Sciences, University of California, San Francisco","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021707586","display_name":"Charlene A. Harrington","orcid":"https://orcid.org/0000-0001-5716-4362","observed_orcids":["https://orcid.org/0000-0001-5716-4362"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Charlene Harrington","raw_affiliation_strings":["Charlene Harrington (           ) is professor emeritus of sociology and nursing in the Department of Social and Behavioral Sciences, University of California, San Francisco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Charlene Harrington (           ) is professor emeritus of sociology and nursing in the Department of Social and Behavioral Sciences, University of California, San Francisco","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5024606297","display_name":"Martin Kitchener","orcid":"https://orcid.org/0000-0001-6249-557X","observed_orcids":["https://orcid.org/0000-0001-6249-557X"]},"institutions":[{"id":"https://openalex.org/I79510175","display_name":"Cardiff University","ror":"https://ror.org/03kk7td41","country_code":"GB","type":"education","lineage":["https://openalex.org/I79510175"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Martin Kitchener","raw_affiliation_strings":["Martin Kitchener is a professor of public sector management and policy, Cardiff Business School, Cardiff University, in Cardiff, Wales"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Martin Kitchener is a professor of public sector management and policy, Cardiff Business School, Cardiff University, in Cardiff, Wales","institution_ids":["https://openalex.org/I79510175"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":15.026,"has_fulltext":false,"cited_by_count":67,"citation_normalized_percentile":{"value":0.98596618,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"29","issue":"1","first_page":"22","last_page":"28"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8988999724388123,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8988999724388123,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.09830000251531601,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13423","display_name":"Social Policies and Healthcare Reform","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.996999979019165},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":1.0},{"id":"https://openalex.org/keywords/long-term-care","display_name":"long-term care","score":1.0},{"id":"https://openalex.org/keywords/post-acute-care","display_name":"post-acute care","score":0.8640000224113464},{"id":"https://openalex.org/keywords/program-coordination","display_name":"program coordination","score":0.7160000205039978},{"id":"https://openalex.org/keywords/home-and-community-based-services","display_name":"home and community-based services","score":0.9190000295639038},{"id":"https://openalex.org/keywords/health-care-spending-growth","display_name":"health care spending growth","score":0.4970000088214874},{"id":"https://openalex.org/keywords/long-term-care-reform","display_name":"long-term care reform","score":0.6930000185966492},{"id":"https://openalex.org/keywords/state-level-variation","display_name":"state-level variation","score":0.47600001096725464},{"id":"https://openalex.org/keywords/program-enrollment","display_name":"program enrollment","score":0.3540000021457672}],"concepts":[{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.9374545216560364},{"id":"https://openalex.org/C2780233487","wikidata":"https://www.wikidata.org/wiki/Q6672123","display_name":"Long-term care","level":2,"score":0.6557021141052246},{"id":"https://openalex.org/C2781140086","wikidata":"https://www.wikidata.org/wiki/Q557945","display_name":"Confusion","level":2,"score":0.6363765001296997},{"id":"https://openalex.org/C61797465","wikidata":"https://www.wikidata.org/wiki/Q1188986","display_name":"Term (time)","level":2,"score":0.5887253880500793},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5535962581634521},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.46175265312194824},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.33897683024406433},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33601951599121094},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3340611755847931},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.31936490535736084},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.20013660192489624},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.14096182584762573},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.07442286610603333},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C11171543","wikidata":"https://www.wikidata.org/wiki/Q41630","display_name":"Psychoanalysis","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003153","descriptor_name":"Community Health Services","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D003153","descriptor_name":"Community Health Services","qualifier_ui":"Q000600","qualifier_name":"supply & distribution","is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005380","descriptor_name":"Financing, Government","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D006301","descriptor_name":"Health Services Needs and Demand","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006699","descriptor_name":"Home Care Services","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D010548","descriptor_name":"Personal Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013221","descriptor_name":"State Health Plans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015397","descriptor_name":"Program Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017051","descriptor_name":"Hospice Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019458","descriptor_name":"Insurance Coverage","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1377/hlthaff.2009.0494","doi":"https://doi.org/10.1377/hlthaff.2009.0494","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.2009.0494","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},{"id":"pmid:20048356","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20048356","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health affairs (Project Hope)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.5683000087738037}],"sustainable_development_goals_aurora":[{"display_name":"Partnerships for the goals","id":"https://metadata.un.org/sdg/17","score":0.4099999964237213}],"study_designs":[],"awards":[{"id":"https://openalex.org/G8348646728","display_name":null,"funder_award_id":"H133B080002","funder_id":"https://openalex.org/F4320332505","funder_display_name":"U.S. Public Health Service"}],"funders":[{"id":"https://openalex.org/F4320332505","display_name":"U.S. Public Health Service","ror":"https://ror.org/05xf94514"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":13,"referenced_works":["https://openalex.org/W1501395215","https://openalex.org/W1783841988","https://openalex.org/W1896570587","https://openalex.org/W1924609608","https://openalex.org/W1981722655","https://openalex.org/W2070952633","https://openalex.org/W2115594131","https://openalex.org/W2119518891","https://openalex.org/W2122432916","https://openalex.org/W2131515329","https://openalex.org/W2139332347","https://openalex.org/W2167386228","https://openalex.org/W2170131723"],"related_works":["https://openalex.org/W7037942782","https://openalex.org/W2911592840","https://openalex.org/W1963807753","https://openalex.org/W2102637592","https://openalex.org/W2186346995","https://openalex.org/W2922150199","https://openalex.org/W6980695268","https://openalex.org/W2294281459","https://openalex.org/W2416304823","https://openalex.org/W4234379861"],"abstract_inverted_index":{"Medicare":[0,54],"and":[1,41,46,55,79,94],"Medicaid,":[2],"two":[3,86],"publicly":[4],"funded":[5],"health":[6],"programs,":[7,87],"both":[8],"cover":[9],"populations":[10],"in":[11,24,31,53,59,67,104],"need":[12,105],"of":[13,39,75,100,106],"long-term":[14,56,101],"care,":[15],"but":[16],"they":[17],"are":[18,89],"poorly":[19],"coordinated.":[20],"Gaps":[21],"often":[22],"exist":[23],"some":[25],"services":[26,40,52,58,81],"while":[27],"there":[28,88],"is":[29,103],"overlap":[30],"others.":[32],"This":[33],"can":[34],"lead":[35],"to":[36],"inefficient":[37],"delivery":[38],"confusion":[42],"among":[43,95],"program":[44,69],"recipients":[45],"providers":[47],"alike.":[48],"Spending":[49],"on":[50],"postacute":[51],"care":[57,102],"Medicaid":[60],"has":[61],"grown":[62],"more":[63],"rapidly":[64],"than":[65],"enrollment":[66],"either":[68],"since":[70],"1999.":[71],"Although":[72],"growing":[73],"numbers":[74],"people":[76],"receive":[77],"home":[78],"community-based":[80],"paid":[82],"for":[83],"by":[84],"the":[85],"wide":[90],"variations":[91],"across":[92],"states":[93],"target":[96],"groups.":[97],"The":[98],"system":[99],"structural":[107],"reform.":[108]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":6},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":6}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
