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Research ArticleArticles

The Effects of State Medicaid Policies on the Dynamic Savings Patterns and Medicaid Enrollment of the Elderly

Lara Gardner and Donna B. Gilleskie
Journal of Human Resources, October 2012, 47 (4) 1082-1127; DOI: https://doi.org/10.3368/jhr.47.4.1082
Lara Gardner
Lara Gardner is an assistant professor of economics at Southeastern Louisiana University. Donna Gilleskie is a professor of economics at the University of North Carolina at Chapel Hill. David Guilkey, Tom Mroz, Edward Norton, Wilbert van der Klaauw, and seminar participants at Baylor University, California State University at Fullerton, Florida Atlantic University, University at Canterbury, and Western Kentucky University provided invaluable comments. This work was supported by a Dissertation Fellowship Grant from the Centers for Medicare and Medicaid, Department of Health and Human Services
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Donna B. Gilleskie
Lara Gardner is an assistant professor of economics at Southeastern Louisiana University. Donna Gilleskie is a professor of economics at the University of North Carolina at Chapel Hill. David Guilkey, Tom Mroz, Edward Norton, Wilbert van der Klaauw, and seminar participants at Baylor University, California State University at Fullerton, Florida Atlantic University, University at Canterbury, and Western Kentucky University provided invaluable comments. This work was supported by a Dissertation Fellowship Grant from the Centers for Medicare and Medicaid, Department of Health and Human Services
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Abstract

Medicaid policies that may affect long-term care decisions vary across states and time. Using data from the 1993, 1995, 1998, and 2000 waves of the Assets and Health Dynamics Among the Oldest Old Survey, we estimate a dynamic empirical model of health insurance coverage, long-term care arrangement, asset and gift behavior, and health transitions over time. Long-run simulations from the estimated model reveal that most Medicaid eligibility and generosity policy variables associated with nursing home services have no effect on Medicaid enrollment and asset behavior. Those policies related to home- and community-based services, however, have a significant but small influence.

  • Accepted January 2012.

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Journal of Human Resources: 47 (4)
Journal of Human Resources
Vol. 47, Issue 4
2 Oct 2012
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The Effects of State Medicaid Policies on the Dynamic Savings Patterns and Medicaid Enrollment of the Elderly
Lara Gardner, Donna B. Gilleskie
Journal of Human Resources Oct 2012, 47 (4) 1082-1127; DOI: 10.3368/jhr.47.4.1082

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The Effects of State Medicaid Policies on the Dynamic Savings Patterns and Medicaid Enrollment of the Elderly
Lara Gardner, Donna B. Gilleskie
Journal of Human Resources Oct 2012, 47 (4) 1082-1127; DOI: 10.3368/jhr.47.4.1082
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