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The Gerontologist, Vol 30, Issue 1 7-15, Copyright © 1990 by The Gerontological Society of America

ARTICLES

Medicaid spenddown in nursing homes

K Liu, P Doty and K Manton
Health Policy Center, Urban Institute, Washington, DC 20037.

This paper employs information from nationally representative surveys to examine the incidence and causes of Medicaid spenddown among disabled elderly persons. About 10% of nursing home discharges experience "asset spenddown," the process of converting from private pay to Medicaid. In contrast, over 50% of nursing home patients remain private pay throughout their stays. In addition, becoming a Medicaid patient is more common among community residents than among nursing home residents. Implications of findings for health care policies are discussed.


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