Asset Spend-Down and Medicaid Enrollment in Nursing Homes
In this cohort study of nursing home residents, those who entered a nursing home as initially non-Medicaid enrolled, especially those with longer stays, were at risk of spending down their assets and enrolling in Medicaid. This finding raises concerns both about individuals impoverishing themselves because of the high cost of care and the long-term financial sustainability of the Medicaid program.
Authors
- David C. Grabowski (ORCID: https://orcid.org/0000-0003-2915-5770)
- Amanda Chen (ORCID: https://orcid.org/0000-0003-3933-8570)
- Gabriella Aboulafia (ORCID: https://orcid.org/0009-0003-0081-5154)
Institutions
- University of Southern California (US)
- Harvard University (US)
- Institute for Health Economics and Policy (JP)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-12-04
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.46876
- Primary Topic
- Geriatric Care and Nursing Homes
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- U.S. Department of Health and Human Services
- University of Southern California
- National Institutes of Health