Liu K, Doty P, Manton K
Health Policy Center, Urban Institute, Washington, DC 20037.
Gerontologist. 1990 Feb;30(1):7-15. doi: 10.1093/geront/30.1.7.
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.
本文利用全国代表性调查的信息，研究残疾老年人医疗补助支出减少的发生率及原因。约10%的疗养院出院患者经历了“资产支出减少”，即从自费转为医疗补助的过程。相比之下，超过50%的疗养院患者在整个住院期间一直是自费。此外，社区居民中成为医疗补助患者的情况比疗养院居民中更为常见。文中讨论了研究结果对医疗保健政策的影响。
