ArticleJournal of racial and ethnic health disparities2019
Racial Disparities in Medicaid Home and Community-Based Service Utilization among White, Black, and Hispanic Adults with Multiple Sclerosis: Implications of State Policy.
Article in Journal of racial and ethnic health disparities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
11 citing papers in PubMed, 17 citations in OpenAlex.
- Home- and Community-Based Service Use and Preferences Among Post-9/11 Veterans With or at High Risk of Alzheimer Disease and Related Dementia and Their Caregivers: Protocol for a Mixed Methods Observational Study.JMIR research protocols · 2026Observational
- Disparities in imaging and management of multiple sclerosis: a review.The British journal of radiology · 2026Review
- The critical role of Medicaid home- and community-based services in meeting the needs of older adults in the United States.Health services research · 2024Article
- The Role of Place in Person- and Family-Oriented Long-Term Services and Supports.The Milbank quarterly · 2023Article
- Unaddressed functional difficulty and care support among White, Black, and Hispanic older adults in the last decade.Health affairs scholar · 2023Article
- Home Health Care Clinicians' Use of Judgment Language for Black and Hispanic Patients: Natural Language Processing Study.JMIR nursing · 2023Article
- Associations Between Use of Paid Help and Care Experiences Among Medicare-Medicaid Enrolled Older Adults With and Without Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- HCBS Service Spending and Nursing Home Placement for Patients With Alzheimer's Disease and Related Dementias: Does Race Matter?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- Evidence for Action: Addressing Systemic Racism Across Long-Term Services and Supports.Journal of the American Medical Directors Association · 2022Article
- The Influence of Race and Gender on Receiving Assistance With Daily Activities Among Older Americans.Innovation in aging · 2022Article
- Variations Between Adult Day Services Centers in the United States by the Racial and Ethnic Case-Mix of Center Participants.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Home- and community-based services (HCBS) provide support to individuals needing assistance with daily activities, like people with multiple sclerosis (MS) who often experience functional impairment. Research notes racial differences in HCBS utilization among people with MS, which may be attributed to state's relative amount of long-term service and support (LTSS) expenditures dedicated to HCBS (HCBS priority). As a first step in untangling this mechanism, we explored how HCBS priority may contribute to racial differences in service utilization. Using Medicaid claims data for a national cohort of dual eligibles with MS, we find state HCBS priority is associated with disparities in utilization-blacks and Hispanics receiving HCBS more often do so in low-priority states compared with whites. Findings indicate a need for additional research focusing on health equity to further examine effects on quality of life and health outcomes of individuals who would benefit from more generous HCBS policies, specifically determining whether minorities in low-HCBS states fare worse than those in high-priority states. Findings from the present study can help policymakers more effectively design HCBS programs for diverse individuals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.