The Medicaid program recently crossed an important, if symbolic, threshold: More than half of Medicaid expenditures on long-term care is spent on services delivered outside of institutions such as nursing homes, Barbara Edwards, director of CMS' Disabled and Elderly Health Programs Group, said Tuesday (Oct. 28) at a Medicaid Health Plans of America conference. “That's a huge movement for our program, where 10 to 20 years ago 80 percent to 90 percent of our expenditures were to institutional settings,” she...