A vital and clear-eyed analysis of America's nursing-home crisis, where economist Paul L. Grimaldi unpacks the surge in Medicaid-funded elder care, exposing the troubling rise of substandard care, unnecessary stays, and fraud, while making a compelling case for market-driven reform over government mandates to control costs and safeguard quality, making it an essential reading for anyone grappling with the economics of long-term care, healthcare policy, and the future of Medicaid reimbursement.
The dramatic increase in the demand for nursing-home care during the past two decades can be attributed to two factors: the growing number of elderly people and the greater availability of such care under the Medicaid program, enacted in 1965.