{"doi":"10.1111/jgs.70144","title":"Impact of Managed Long‐Term Services and Supports on Nursing Home Use","abstract":"BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.","journal":"Journal of the American Geriatrics Society","year":2025,"id":547267,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7697,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":316545,"name":"David C. Grabowski","orcid":"0000-0003-2915-5770","position":1,"is_corresponding":false},{"id":937119,"name":"Deepon Bhaumik","orcid":"0000-0002-7055-0732","position":0,"is_corresponding":true}],"reference_count":7,"raw_metadata":null,"created_at":"2026-07-19T02:53:41.314800Z","pmid":"41024643","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}