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Related Experiment Videos

Medicaid spenddown in nursing homes.

K Liu1, P Doty, K Manton

  • 1Health Policy Center, Urban Institute, Washington, DC 20037.

The Gerontologist
|February 1, 1990
PubMed
Summary

Approximately 10% of disabled elderly individuals experience Medicaid spenddown when transitioning from private pay to Medicaid, particularly after nursing home discharge. This financial shift is more prevalent among community residents than nursing home patients.

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Area of Science:

  • Health Services Research
  • Gerontology
  • Public Health Policy

Background:

  • Disabled elderly persons often face significant healthcare costs.
  • Transitioning to long-term care can deplete personal assets, necessitating public assistance.
  • Understanding the financial pathways to Medicaid is crucial for policy development.

Purpose of the Study:

  • To investigate the incidence and contributing factors of Medicaid spenddown among disabled elderly individuals.
  • To analyze the financial transitions experienced by disabled elderly persons in long-term care settings.
  • To inform healthcare policy related to elder care and public assistance.

Main Methods:

  • Utilized nationally representative survey data.
  • Examined the phenomenon of asset spenddown for nursing home discharges.
  • Compared Medicaid utilization rates between community residents and nursing home residents.

Main Results:

  • Around 10% of nursing home discharges undergo asset spenddown to become Medicaid beneficiaries.
  • Over 50% of nursing home patients maintain private pay status for their entire stay.
  • Medicaid enrollment is a more common pathway for community-dwelling disabled elderly individuals than for those in nursing homes.

Conclusions:

  • Asset spenddown is a significant, though not universal, financial pathway to Medicaid for disabled elderly persons.
  • The findings highlight disparities in financial burden and access to care based on living arrangements.
  • Implications for healthcare policy regarding long-term care financing and support for the elderly are substantial.

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