The Gerontologist, Vol 31, Issue 2 165-173, Copyright © 1991 by The Gerontological Society of America
Nursing home length of stay and spenddown in Connecticut, 1977-1986
K Liu and K Manton
Health Policy Center, Urban Institute, Washington, DC 20037.
A study of lifetime nursing home use was conducted with data from
Connecticut for a 9-year period, 1977-1986. By linking stays for
individuals, we were able to make life table estimates of the total amount
of time after age 65 expected to be spent by persons in nursing homes.
Because these data were linked to Medicaid eligibility records, it was
possible to determine the total amount of nursing home use that is paid for
by Medicaid and to produce estimates of the risk of Medicaid spenddown. The
lifetime risk of spenddown in nursing homes was estimated to be 21.5%, with
a 14.4% incidence of spenddown in any given episode. The amount of time it
took to spend down was longer than reported in several other studies.