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A demonstration proposal that would create a new kind ofcontinuing care retirement community would save state Medicaid programs upwardsof 20% on long-term care costs, according to a report from Avalere.

The proposal would create Senior Health and HousingInitiative for Transformation (SHIFT) communities. These communities wouldbring healthcare, housing and long-term care together in one location and payfor the services by combining public and private funds. It would pool funding from Medicare, Medicaid andseniors’ home equity to provide acute care, long-term care services and housingto seniors who live in these communities.

Medicaid would spend about 20% less on an initial cohort of1,000 SHIFT enrollees than it would for the same population under current law,the report found. Thepaper was written on behalf of Wesley Enhanced Living.