Document Type


Publication Date



This site visit examined transitions along the continuum of care for elderly and disabled persons in New York. The state offers its residents an extensive array of services, including nursing homes, home health care, personal care, and community-based services. New York spends more than any other state on its Medicaid program, which is reflected in a comprehensive benefit package, full-cost reimbursement of hospitals, high nursing home rates, and extensive coverage of personal care services. Site visitors were briefed on the history and development of long-term care in the state as well as the various care settings available. Panels discussed transitions in and out of acute, subacute, and long-term care settings and variations in managed long-term care. Discussions included strategies to improve the quality of care provided to nursing home residents, individuals living at home, and those nearing the end of life. Site visitors traveled to the Visiting Nurse Service of New York, the largest nonprofit home health care agency in the country. They also toured a long-term care facility with a large Chinese population and discussed multicultural competency, staffing, and reimbursement.

Open Access




To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.