The Scripps Gerontology Center at Miami University studied the cost of long-term care for older Ohioans and reached a familiar conclusion: The state spends too many Medicaid dollars on nursing homes and too few on in-home and community-based care.
Ohio ranks 47th in the percentage of its long-term-care budget spent on helping seniors remain in their own homes. This hurts the state, because national studies show that states with their spending weighed in favor of in-home care spend less per capita than others. 
If seniors who are healthy enough for in-home care or assisted living are forced to choose a nursing home because no funds are available for the less-intensive care, they are gravely ill-served by the state.
Thanks in no small part to continued expansion in the army of smart Gerontologists across that nation, reimbursement rules are under review in every statehouse-- significant savings can be garnered, and major improvements in quality of life can be achieved, by enabling seniors and the disabled to stay at home using modern, assistive technology.
