Meeting the need for personal care among the elderly: does Medicaid home care spending matter?

Health Services Research
Peter KemperHyojin Kang

Abstract

To determine whether Medicaid home care spending reduces the proportion of the disabled elderly population who do not get help with personal care. Data on Medicaid home care spending per poor elderly person in each state is merged with data from the Medicare Current Beneficiary Survey for 1992, 1996, and 2000. The sample (n=6,067) includes elderly persons living in the community who have at least one limitation in activities of daily living (ADLs). Using a repeated cross-section analysis, the probability of not getting help with an ADL is estimated as a function of Medicaid home care spending, individual income, interactions between income and spending, and a set of individual characteristics. Because Medicaid home care spending is targeted at the low-income population, it is not expected to affect the population with higher incomes. We exploit this difference by using higher-income groups as comparison groups to assess whether unobserved state characteristics bias the estimates. Among the low-income disabled elderly, the probability of not receiving help with an ADL limitation is about 10 percentage points lower in states in the top quartile of per capita Medicaid home care spending than in other states. No such association is...Continue Reading

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Citations

May 18, 2010·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Brenda Gannon, Bérengère Davin
Jan 1, 2012·Medicare & Medicaid Research Review·Becky A BriesacherSowmya R Rao
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Apr 1, 2009·Health Services Research·Donna O Farley, James B Battles
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Jul 7, 2018·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Judite GonçalvesR Tamara Konetzka
Aug 11, 2018·Social Work in Public Health·Ming-Sheng Wang, Chi-Fang Wu
Nov 7, 2019·Journal of the American Geriatrics Society·Jennifer M ReckreyKatherine A Ornstein
Feb 26, 2021·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Lisa Kalimon Beauregard, Edward Alan Miller
Jun 20, 2021·Health Services Research·Sijiu WangShubing Cai
Jun 24, 2021·Journal of Aging & Social Policy·France Weaver, April Temple
Nov 24, 2021·Home Health Care Services Quarterly·George MellgardAmy Kelley

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