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Demonstrates a substitution effect between Medicare and Medicaid home care in dual-eligible older adults, suggesting implications for care efficiency.
Our findings suggest a substitution between Medicaid HCBS and Medicare CIHHC among dual-eligible older adults at the margin of using Medicaid HCBS, a relationship that should be taken into account when evaluating either program. These findings also align with the hypothesis that Medicare CIHHC is being used as a substitute for LTC, and the availability of home-based LTC may help to alleviate this potentially inefficient use.
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Qi et al. (2026) studied this question.
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