TY - JOUR T1 - Are coresidence and nursing homes substitutes? Evidence from Medicaid spend-down provisions. JF - J Health Econ Y1 - 2018 A1 - Corina D Mommaerts KW - Adult children KW - Aged KW - Aged, 80 and over KW - Female KW - Health Expenditures KW - Homes for the Aged KW - Humans KW - Long-term Care KW - Male KW - Medicaid KW - Nursing homes KW - Residence Characteristics KW - United States AB -

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.

VL - 59 U1 - http://www.ncbi.nlm.nih.gov/pubmed/29709710?dopt=Abstract ER -