This Health Affairs datawatch article uses health plan data to calculate excess mortality rates for Medicaid home and community-based services recipients during March-December 2020. For younger recipients, excess mortality was 7.4 times that of other community-dwelling Medicaid beneficiaries and 26.6 times that of the general population. As a proportion of expected mortality, excess mortality rates for older recipients and nursing home residents were comparable.
This Disability and Health journal article describes a study which sought to investigate the experiences of individuals self-directing during COVID-19. In particular, researchers used semi-structured interviews to explore the following areas: 1) How have individuals maintained access to HCBS and workers?; 2) How have individuals maintained safety against COVID-19?; and 3) How have individuals maintained their health and well-being?