Title | Are coresidence and nursing homes substitutes? Evidence from Medicaid spend-down provisions. |
Publication Type | Journal Article |
Year of Publication | 2018 |
Authors | Mommaerts, CD |
Journal | J Health Econ |
Volume | 59 |
Pagination | 125-138 |
Date Published | 2018 05 |
ISSN Number | 1879-1646 |
Keywords | Adult children, Aged, Aged, 80 and over, Female, Health Expenditures, Homes for the Aged, Humans, Long-term Care, Male, Medicaid, Nursing homes, Residence Characteristics, United States |
Abstract | This paper measures the extent to which the price of nursing home care affects a potential substitute living arrangement: coresidence with adult children. Exploiting variation in state Medicaid income "spend-down" provisions over time, I find that living in a state with a spend-down provision decreases the prevalence of coresidence with adult children by 1-4 percentage points for single elderly individuals, with a corresponding increase in the use of nursing home care. These findings suggest that changes in Medicaid eligibility for long-term care benefits could have large impacts on living arrangements, care utilization patterns, and Medicaid expenditures. |
DOI | 10.1016/j.jhealeco.2018.04.003 |
User Guide Notes | |
Alternate Journal | J Health Econ |
Citation Key | 10714 |
PubMed ID | 29709710 |
PubMed Central ID | PMC5966342 |
Grant List | T32 AG000186 / AG / NIA NIH HHS / United States |