SPEND-DOWN OF ASSETS BEFORE MEDICAID ELIGIBILITY AMONG ELDERLY NURSING-HOME RECIPIENTS IN MICHIGAN

被引：14

作者：

BURWELL, BO ^{[1
]}

ADAMS, EK ^{[1
]}

MEINERS, MR ^{[1
]}

机构：

[1] UNIV MARYLAND,CTR AGING,COLLEGE PK,MD 20742

来源：

MEDICAL CARE | 1990年 / 28卷 / 04期

关键词：

Care of; Elderly; Health behavior of; Long-term care; Medicaid; Nursing-home care; Spend-down;

D O I：

10.1097/00005650-199004000-00006

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Many elderly persons enter nursing homes as private pay clients, spend their available life savings, and then apply for medical assistance under Medicaid after their assets are depleted. However, reliable data on the size and characteristics of this “spend-down” population have been lacking. This study used Medicaid claims and enrollment data to identify the proportion of elderly Medicaid nursing-home users who originally entered nursing homes as private pay clients versus those eligible for Medicaid before or concurrent with, their nursing-home admission. The study population consisted of all elderly nursing-home users receiving Medicaid in Michigan in 1984, a total of 36, 898 unduplicated recipients. Findings indicated that “spend-downers” comprised 27.2% of all elderly users. Once on Medicaid, spend downers exhibited similar nursing-home utilization patterns as other groups, but incurred lower Medicaid claims because they contributed more to the cost of their nursing-home care. In aggregate, the State of Michigan Medicaid program spent $75.4 million on nursing-home services in 1984 for elderly persons who spent down to eligibility in a nursing home. These data are relevant to state policy initiatives to reduce Medicaid spending for nursing-home care by encouraging potential spend downers to purchase long-term care insurance. © Lippincott-Raven Publishers.

引用

页码：349 / 362

页数：14

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