Assisted Living Pilot Program: Utilization and cost findings

Michael K. Chapko, Larry M. Manheim, Marylou Guihan, Jean H. Sullivan, Xiao Hua Andrew Zhou, Wang Li Wang, Floss J. Mambourg, Susan C. Hedrick

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Objective: The Department of Veterans Affairs funded assisted living, adult family home, and adult residential care for the first time in the Assisted Living Pilot Program (ALPP). This article compares the use and cost for individuals that entered ALPP and a comparison group. Method: This was a nonrandomized study. The comparison group consisted of VA patients who were eligible but did not enter an ALPP facility. The ALPP (n = 393) and comparison (n = 259) groups were followed for 12 months to assess ALPP facility, case management, and health care costs. Results: ALPP facility and ALPP case management costs were respectively $5,560 and $2,830 per individual. Total health care costs, including ALPP costs, were $11,533 higher for the ALPP group compared to the comparison group after adjusting for baseline differences. Discussion: Although ALPP successfully helped individuals transition to longer term care in these facilities, it was more costly than the comparison group.

Original languageEnglish (US)
Pages (from-to)208-225
Number of pages18
JournalJournal of aging and health
Issue number1
StatePublished - Feb 2009


  • Assisted living
  • Cost
  • Long-term care
  • Residential care facilities

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies


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