Rice and Estes predicted in 1984 that the increase in the elderly population and the disease prevalence would result in an increase in hospital utilization and the number of beds need to provide the needed care. The hospital utilization however, has been declining over the last 20 years. Hospital discharges from 1992 through 2000 did not significantly increase (Centers for Disease Control and Prevention, 2004) The inpatient discharges for Medicare beneficiaries declined 6 percent from 2004 to 2010 (Grube, M., Kaufman, K., York, R., 2013). The errors in prediction of a decrease in hospitalization are multiple. The advancements in preventative care in control of diabetes, hypertension, hyperlipidemia, and smoking have significantly reduced the prevalence of cardiovascular
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Centers for Disease Control and Prevention (2004). Health Care in America trends in utilization. Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/nchs/data/misc/ healthcare.pdf
Eiken,S., Sredl, K., Burwell, B., Saucier, P. (2015). Medicaid Expenditures for long-term services and supports (LTSS) in FY 2013: home and community-based services were a majority of LTSS Spending. Retrieved from https://www.medicaid.gov/medicaid-chip-program-information/by- topics/long-term-services-and-supports/downloads/ltss-expenditures-fy2013.pdf
Grube, M., Kaufman, K., York, R. (2013). Decline in utilization rates signals a change in the inpatient business model. Health Affairs. Retrieved from http://healthaffairs.org/blog/2013/03/08/decline- in-utilization-rates-signals-a-change-in-the-inpatient-business-model/
Reaves, E. L., Musumeci, M. (2015). Medicaid and long-term services and supports: a primer. The Henry J. Kaiser Family Foundation (2015). Retrieved from http://kff.org/medicaid/report/medicaid-and-
Centers for Disease Control and Prevention (2004). Health Care in America trends in utilization. Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/nchs/data/misc/ healthcare.pdf
Eiken,S., Sredl, K., Burwell, B., Saucier, P. (2015). Medicaid Expenditures for long-term services and supports (LTSS) in FY 2013: home and community-based services were a majority of LTSS Spending. Retrieved from https://www.medicaid.gov/medicaid-chip-program-information/by- topics/long-term-services-and-supports/downloads/ltss-expenditures-fy2013.pdf
Grube, M., Kaufman, K., York, R. (2013). Decline in utilization rates signals a change in the inpatient business model. Health Affairs. Retrieved from http://healthaffairs.org/blog/2013/03/08/decline- in-utilization-rates-signals-a-change-in-the-inpatient-business-model/
Reaves, E. L., Musumeci, M. (2015). Medicaid and long-term services and supports: a primer. The Henry J. Kaiser Family Foundation (2015). Retrieved from http://kff.org/medicaid/report/medicaid-and-