The Gerontologist, Vol 31, Issue 2 174-182, Copyright © 1991 by The Gerontological Society of America
Medicaid spenddown among nursing home residents in Wisconsin
G Arling, H Buhaug, S Hagan and D Zimmerman
Center for Health Systems and Research and Analysis, University of Wisconsin-Madison 53706.
We examined Medicaid spenddown among nursing home residents from 72
facilities in Wisconsin during 1988. Results indicate that only a small
proportion (12%) of discharges from these facilities had spent down to
Medicaid eligibility. This represents about one-fourth (23%) of persons who
had been admitted private pay. Moreover, we estimated that over 40% of
those who spent down to Medicaid did so within 6 months, 58% spent down
within a year, and 76% spent down within 2 years. Even though a relatively
small percentage of residents spent down, this group had very long stays
(median stay greater than 3 years) and thus contributed quite heavily to
nursing home days.