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Long-term care, Medicaid, and impoverishment of the elderly.

Publication ,  Journal Article
Sloan, FA; Shayne, MW
Published in: The Milbank quarterly
January 1993

The 1989 Long Term Care Survey was used to assess the extent to which entry of disabled elderly into nursing homes depletes personal wealth ("spenddown"); the effect of state eligibility rules on this process, on incentives to shield assets for Medicaid eligibility, and on out-of-pocket prices for nursing-home care; and whether the disabled elderly's housing wealth represents potential revenue for Medicaid. Most disabled elderly in the community were either Medicaid eligible, or would have been soon after entering a nursing home. Variations in state Medicaid eligibility rules do not explain differences in the spenddown process: the amount of nonhousing wealth of most disabled elderly seldom warranted its transfer to relatives in order to secure Medicaid benefits, nor would their housing wealth have offered more than limited revenue for Medicaid.

Duke Scholars

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Published In

The Milbank quarterly

DOI

EISSN

1468-0009

ISSN

0887-378X

Publication Date

January 1993

Volume

71

Issue

4

Start / End Page

575 / 599

Related Subject Headings

  • United States
  • Poverty
  • Nursing Homes
  • Middle Aged
  • Medicaid
  • Male
  • Long-Term Care
  • Humans
  • Housing
  • Health Services Research
 

Citation

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Sloan, F. A., & Shayne, M. W. (1993). Long-term care, Medicaid, and impoverishment of the elderly. The Milbank Quarterly, 71(4), 575–599. https://doi.org/10.2307/3350420
Sloan, F. A., and M. W. Shayne. “Long-term care, Medicaid, and impoverishment of the elderly.The Milbank Quarterly 71, no. 4 (January 1993): 575–99. https://doi.org/10.2307/3350420.
Sloan FA, Shayne MW. Long-term care, Medicaid, and impoverishment of the elderly. The Milbank quarterly. 1993 Jan;71(4):575–99.
Sloan, F. A., and M. W. Shayne. “Long-term care, Medicaid, and impoverishment of the elderly.The Milbank Quarterly, vol. 71, no. 4, Jan. 1993, pp. 575–99. Epmc, doi:10.2307/3350420.
Sloan FA, Shayne MW. Long-term care, Medicaid, and impoverishment of the elderly. The Milbank quarterly. 1993 Jan;71(4):575–599.
Journal cover image

Published In

The Milbank quarterly

DOI

EISSN

1468-0009

ISSN

0887-378X

Publication Date

January 1993

Volume

71

Issue

4

Start / End Page

575 / 599

Related Subject Headings

  • United States
  • Poverty
  • Nursing Homes
  • Middle Aged
  • Medicaid
  • Male
  • Long-Term Care
  • Humans
  • Housing
  • Health Services Research