While nursing homes were insulated from civil-rights enforcement at the time of the
implementation of the Medicare program and lagged behind other parts of the health sector …

Long-term services and supports (LTSS), including care received at home and in residential
settings such as nursing homes, are highly racially segregated; Black, Indigenous, and …

Race continues to impede access to health services, for acute as well as long-term care.
Whites, for example, use disproportionately more days of nursing home care than do …

The lower access to and use of medical care among black Americans, compared with white
Americans, have concerned researchers and policymakers for many years. Similarly …

A growing body of evidence documents pervasive racial, ethnic, and class disparities in long-
term care in the United States. At the same time, major quality improvement initiatives are …

Objectives: Rebalancing the long-term care system between institutional care and home-
based and community-based services (HCBS) has become an important policy goal of most …

The benefits of expanding funding for Medicaid long-term care home and community-based
services (HCBS) relative to institutional care are often taken as self-evident. However, little is …

Before Medicare was enacted in 1965, public policy experts were concerned over the fact
that the use of health care services was inversely related to income. 1 Disparities in health …

The Balanced Budget Act of 1997 dramatically decreased reimbursements for traditional
Medicare home health patients. A multivariate analysis of Medicare Current Beneficiary …

Through its coverage expansions, the Affordable Care Act (ACA) provides an opportunity to
reduce longstanding disparities in health insurance coverage for people of color, which may …