New Findings from Harvard Medical School Yields New Data on Managed Care (Impact of Managed Long-Term Services and Supports on Nursing Home Use): Managed Care

2025 OCT 14 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Fresh data on Managed Care are presented in a new report. According to news reporting out of Boston, Massachusetts, by NewsRx editors, research stated, “States have increased their use of managed care organizations to cover long-term services and supports (LTSS) to rebalance use from nursing homes to home and community-based settings. We study the impact of managed long-term services and supports (MLTSS) programs on long-stay Medicaid nursing home visits.”

Financial support for this research came from National Institute on Aging.

Our news journalists obtained a quote from the research from Harvard Medical School, “We used the minimum data set (MDS) 3.0 and master beneficiary summary files (MBSF) from 2011 to 2021 to identify 3,685,771 older adults aged 65 and above with long-stay nursing home visits. Using a staggered difference-in-differences (DiD) regression design, we compared individuals in states that implemented MLTSS programs with individuals in states that did not implement MLTSS. Although overall Medicaid nursing home enrollment for older adults decreased from 2011 to 2021, states implementing MLTSS experienced a 5.83% decrease in their share of older adults residing in long-stay nursing homes relative to states that did not implement MLTSS. We observed no significant changes in the share of residents with low care needs due to MLTSS.”

According to the news editors, the research concluded: “The findings of this study suggest MLTSS programs can potentially fulfill states’ objectives of rebalancing Medicaid LTSS use from nursing homes to home and community-based settings, but further design changes may be necessary to target low-care nursing home residents.”

This research has been peer-reviewed.

For more information on this research see: Impact of Managed Long-Term Services and Supports on Nursing Home Use. Journal of the American Geriatrics Society, 2025. Journal of the American Geriatrics Society can be contacted at: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - http://www.wiley.com/; Journal of the American Geriatrics Society - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1532-5415)

Our news journalists report that additional information may be obtained by contacting David C. Grabowski, Dept. of Health Care Policy, Harvard Medical School, Boston, Massachusetts, United States.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1111/jgs.70144. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the Journal of the American Geriatrics Society is: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA.

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