{"id":63551,"date":"2026-07-14T03:00:20","date_gmt":"2026-07-14T01:00:20","guid":{"rendered":"https:\/\/housesmarketplace.com\/higher-home-care-spending-by-states-linked-to-greater-aging-in-place-outcomes\/"},"modified":"2026-07-14T03:00:20","modified_gmt":"2026-07-14T01:00:20","slug":"higher-home-care-spending-by-states-linked-to-greater-aging-in-place-outcomes","status":"publish","type":"post","link":"https:\/\/housesmarketplace.com\/ru\/higher-home-care-spending-by-states-linked-to-greater-aging-in-place-outcomes\/","title":{"rendered":"Higher home-care spending by states linked to greater aging-in-place outcomes"},"content":{"rendered":"
\n

Older adults with difficulty living independently are more likely to remain in their homes when states devote a larger share of \u0434\u043e\u043b\u0433\u043e\u0441\u0440\u043e\u0447\u043d\u044b\u0439 \u0443\u0445\u043e\u0434<\/a> spending to home- and community-based services, according to a new study.<\/p>\n

Researchers examined whether state investments in home- and community-based services \u2014 known as HCBS \u2014 were associated with changes in where older adults lived<\/a>, including whether they moved, lived with adult children or entered group housing settings.<\/p>\n

The \u0438\u0437\u0443\u0447\u0430\u0442\u044c<\/a>, published by JAMA Health Forum, analyzed data from 7.35 million older adults using \u0411\u044e\u0440\u043e \u043f\u0435\u0440\u0435\u043f\u0438\u0441\u0438 \u043d\u0430\u0441\u0435\u043b\u0435\u043d\u0438\u044f \u0421\u0428\u0410<\/strong> American Community Survey records from 2009 through 2021.<\/p>\n

The findings suggest that expanding access to in-home assistance<\/a> may help older adults avoid unwanted moves and maintain greater independence.<\/p>\n

\u201cMost older adults prefer to remain in their own homes and communities,\u201d researchers wrote. \u201c[They want to] remain autonomous, maintain community-based social ties, and avoid the negative stigma associated with institutional living, (ie, aging in place). <\/p>\n

\u201cHowever, changes in cognitive and functional status during the aging process are associated with an increased risk of dementia and relocating and entering institutional care or living with adult children. These risks may be mitigated through high-quality long-term care.\u201d<\/p>\n

Greater HCBS investment tied to fewer residential changes<\/h2>\n

Among older adults with independent living difficulties, a 20-percentage-point increase in a state\u2019s share of long-term services and support spending directed toward HCBS was associated with a 2.6-percentage-point lower likelihood of living in group quarters, such as institutional or other congregate settings.<\/p>\n

The same increase was linked to an 0.8-percentage-point decrease in living with adult children<\/a>, a 1-percentage-point increase in remaining in the same residence, and lower rates of both in-state and out-of-state moves.<\/p>\n

Researchers said the results indicate that stronger HCBS systems may reduce the need for older adults with functional limitations to relocate for care or depend as heavily on family members for housing support.<\/p>\n

The study also found some evidence that expanded HCBS availability may increase \u041c\u0435\u0434\u0438\u043a\u0430\u0438\u0434<\/a> enrollment among some older adults, but researchers described the effect as modest and inconsistent across analyses.<\/p>\n

While public programs play a major role in supporting \u0441\u0442\u0430\u0440\u0435\u043d\u0438\u0435 \u043d\u0430 \u043c\u0435\u0441\u0442\u0435<\/a>, many older adults and families also rely on personal resources to pay for modifications<\/a> and services that allow someone to remain safely at home.<\/p>\n

For homeowners with significant equity, \u043e\u0431\u0440\u0430\u0442\u043d\u0430\u044f \u0438\u043f\u043e\u0442\u0435\u043a\u0430<\/a> can be one option to help fund aging-in-place expenses, including home accessibility improvements, in-home care costs and other long-term support needs.<\/p>\n

Policy focus shifts toward community-based care<\/h2>\n

The researchers said the findings support continued investment in HCBS programs, workforce development and broader access to noninstitutional care.<\/p>\n

The study\u2019s authors noted that the U.S. population is aging rapidly<\/a>, with older adults expected to make up a growing share of the population in coming decades.<\/p>\n

As demand for long-term care rises, policymakers face increasing pressure to expand options that allow people to receive assistance outside nursing homes and other institutional settings.<\/p>\n

The researchers concluded that HCBS investments may provide benefits beyond direct services by helping older adults maintain residential stability while reducing disruptions for families and caregivers.<\/p>\n

This article was written by Jonathan Delozier and generated with the assistance of HousingWire Automation. It was reviewed by a HousingWire editor before publication.<\/em><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

Older adults with difficulty living independently are more likely to remain in their homes when states devote a larger share of long-term care spending to home- and community-based services, according to a new study. Researchers examined whether state investments in home- and community-based services \u2014 known as HCBS \u2014 were associated with changes in where […]<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-63551","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\nHigher home-care spending by states linked to greater aging-in-place outcomes - Houses Marketplace<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/housesmarketplace.com\/ru\/higher-home-care-spending-by-states-linked-to-greater-aging-in-place-outcomes\/\" \/>\n<meta property=\"og:locale\" content=\"ru_RU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Higher home-care spending by states linked to greater aging-in-place outcomes\" \/>\n<meta property=\"og:description\" content=\"Older adults with difficulty living independently are more likely to remain in their homes when states devote a larger share of long-term care spending to home- and community-based services, according to a new study. 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