Racial and Ethnic Inequities in the Relationship Between State Home and Community-Based Services Expenditures and Long-Term Care Utilization in the United States: A Fixed-Effects Analysis
Fixed-effects analysis shows inequities in HCBS funding benefits for older adults, suggesting that Black and Hispanic groups utilize LTSS less distinctly compared to Whites.
Key Points
Higher state-level HCBS spending positively influenced home health care use among non-Hispanic White older adults, indicating disparities exist in LTC utilization.
The study analyzed HCBS expenditures from 1996 to 2016, revealing systemic inequities affecting Black and Hispanic older adults' access to LTSS.
Multivariate logit models were used to assess the impact of state expenditures, accounting for socio-demographic and time effects among 3,097 Medicaid beneficiaries.
The findings highlight a need for further exploration into structural barriers affecting LTSS access, particularly for racial and ethnic minorities.