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Racial Disparities in Medicaid HCBS Users with MS

BMC Health Serv Res; ePub 2018 Oct 12; Fabius, et al

Recent findings shed light on disparities among Medicaid home and community-based services (HCBS) users with multiple sclerosis (MS). Researchers used secondary data to conduct a retrospective cohort analyses including 7,550 HCBS recipients with MS. Demographic data was obtained from the Medicaid Analytic eXtract Personal Summary file, Medicaid HCBS service utilization and expenditures were obtained from the Other Therapy file, and comorbidities from the Medicare Chronic Condition Warehouse. They found:

  • Black HCBS users were younger, more likely to be female, and were more impaired than whites.
  • Multivariate analyses showed that blacks were less likely to receive case management, equipment, technology and modification services, and nursing services compared to whites.
  • Additionally, black men had the lowest Medicaid HCBS expenditures, while white men had the highest.


Fabius CD, Thomas KS, Zhang T, Ogarek J, Shireman TI. Racial disparities in Medicaid home and community-based service utilization and expenditures among persons with multiple sclerosis. [Published online ahead of print October 12, 2018]. BMC Health Serv Res. doi:10.1186/s12913-018-3584-x.