Everyone is Talking About It, But Does It Work?

October 16, 2013


  • Suzanne R. Kunkel
  • Robert A. Applebaum

In response to increasing Medicaid expenditures and consumer preferences, states are reforming their long-term care systems to provide more community-based services. One popular reform is renewed efforts to prevent unnecessary long-term nursing home placement (diversion) and to provide nursing home residents an opportunity to return to the community (transition). This research tracked outcomes for consumers and evaluated the implementation of the new program. An agency-level process analysis revealed innovative intervention strategies, promising practices, and barriers. Process results found that Area Agencies on Aging (AAAs) have become more proactive in working with high-risk individuals, with agencies identifying new at-risk consumers through hospital and nursing home interventions.

Journal of Applied Gerontology, 33 (2). doi: 10.1177/0733464813505702 

Publication available online, subscription may be required.


  • Business/Economics of Aging
  • Home and Community Based Services
  • Long-Term Care Decision Making