Long-term care, Medicaid, and impoverishment of the elderly.
Long-term care, Medicaid, and impoverishment of the elderly.
复制标题
长期护理、医疗补助和老年人贫困。
作者：
F. Sloan;May W. Shayne
1989年的长期护理调查被用来评估残疾老人进入养老院耗尽个人财富（“挥霍”）的程度;国家资格规则对这一过程的影响，对激励措施，以保护资产的医疗补助资格，并对自付价格的养老院护理;以及残疾老人的住房财富是否代表潜在的收入医疗补助。社区中的大多数残疾老人要么符合医疗补助条件，要么在进入养老院后不久就符合条件。州医疗补助资格规则的变化并不能解释支出过程中的差异：大多数残疾老年人的非住房财富很少有理由转移给亲属，以确保医疗补助福利，他们的住房财富也不会为医疗补助提供超过有限的收入。
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.