共同居住和养老院是替代品吗？从医疗补助支出规定中得到的证据。
Are coresidence and nursing homes substitutes? Evidence from Medicaid spend-down provisions.
机构信息
University of Wisconsin-Madison, United States.
出版信息
J Health Econ. 2018 May;59:125-138. doi: 10.1016/j.jhealeco.2018.04.003. Epub 2018 Apr 21.
Abstract
This paper measures the extent to which the price of nursing home care affects a potential substitute living arrangement: coresidence with adult children. Exploiting variation in state Medicaid income "spend-down" provisions over time, I find that living in a state with a spend-down provision decreases the prevalence of coresidence with adult children by 1-4 percentage points for single elderly individuals, with a corresponding increase in the use of nursing home care. These findings suggest that changes in Medicaid eligibility for long-term care benefits could have large impacts on living arrangements, care utilization patterns, and Medicaid expenditures.
摘要
本文衡量了养老院护理价格对潜在替代居住安排的影响程度
与成年子女同住。通过利用各州医疗补助计划（Medicaid）收入“消费减免”规定在时间上的变化，我发现，对于单身老年人而言，居住在实行消费减免规定的州，与成年子女同住的比例会降低 1-4 个百分点，而养老院护理的使用则相应增加。这些发现表明，医疗补助计划长期护理福利资格的变化可能对居住安排、护理利用模式和医疗补助支出产生重大影响。
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