This research investigates the factors influencing the initial choice of long-term services and supports among dual-eligible older adults.
Analyzed data on dual-eligible older adults initiating long-term services and supports
Compared factors related to complex medical needs and service options
Examined likelihood of nursing home versus home and community-based services use.
Older adults with more complex medical needs are more likely to choose nursing home care
Those with fewer medical needs tend to select home and community-based services as their initial option.
Abstract
Among dual-eligible older adults initiating LTSS, factors related to more complex medical needs were associated with a higher likelihood of NH use rather than HCBS use as their initial LTSS option.