The Vermont Support and Services at Home program (SASH) reduced the growth in Medicaid expenditures for long-term institutional services, for people age 65 and older who were dually-eligible for Medicare and Medicaid, by $400 per year between 2010 and 2016. As a result of the SASH program, the growth in expenditures for long-term institutional care was reduced by $33.40 per beneficiary per month (PBPM) for these dually-eligible participants. For participants in rural panels, the growth in Medicaid expenditures reduced by $34.07 PBPM. The SASH program is designed to promote greater care coordination for the . . .