Medicaid Spenddown in Nursing Homes
- 1 February 1990
- journal article
- research article
- Published by Oxford University Press (OUP) in The Gerontologist
- Vol. 30 (1) , 7-15
- https://doi.org/10.1093/geront/30.1.7
Abstract
This paper employs information from nationally representative surveys to examine the incidence and causes of Medicaid spenddown among disabled elderly persons. About 10% of nursing home discharges experience ‘asset spenddown’ the process of converting from private pay to Medicaid. In contrast, over 50% of nursing home patients remain private pay throughout their stays. In addition, becoming a Medicaid patient is more common among community residents than among nursing home residents. Implications of findings for health care policies are discussed.Keywords
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