Home Or Nursing Home: America’s Empty Promise To Give Elderly, Disabled A Choice

In a study in the journal Health Affairs, that expansion of home-based care can save states money over the long run. The paper  looked at Medicaid data from 1995 to 2005. States incurred extra cost when they spent to create new social service programs to care for people at home, but that expense, over time, paid for itself because it was cheaper to care for people at home. Policymakers often cite the "woodwork effect" as a reason to worry about expanding home-based care. This is the argument that if states provided people what they want — home-based care — then…

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