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  1. Formation of trusts and spend down to medicaid.

    Article - En anglais

    Objective

    To identify the proportion of community-dwelling elderly persons (70+) who could affect their eligibility for Medicaid financing of a nursing home stay through the use of a trust and to quantify the prevalence and predictors of trusts.

    Methods

    State specific Medicaid eligibility regulations were used to determine eligibility and to identify those who could affect the same through the use of trusts, Multivariate logistic regression was used to identify correlates of having a trust.

    Wave 1 of the Assets and Health Dynamics of the Oldest Old (AHEAD) data base was used.

    Results

    Four in 10 elderly community dwellers could potentially qualify for Medicaid by using a trust ; however, less than 10% had a trust.

    On average, wealthier persons had trusts.

    Avoidance of probate and controlling assets after death appear to be stronger motivations for trust creation among the elderly than achieving Medicaid spend down.

    Discussion

    The use of trusts was not common, and motives other than spend down were more important for those with trusts.

    Our results suggest little need for policy efforts to limit the use of trusts to achieve spend down.

    Mots-clés Pascal : Assurance maladie, Protection sociale, Etats Unis, Amérique du Nord, Amérique, Financement, Etablissement troisième âge, Système santé, Personne âgée, Homme, Medicaid

    Mots-clés Pascal anglais : Health insurance, Welfare aids, United States, North America, America, Financing, Homes for the aged, Health system, Elderly, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0425822

    Code Inist : 002B30A03B. Création : 22/03/2000.