Centre for Policy on Ageing



Medicaid reimbursement rates and access to nursing homes — implications for gender, race, and marital status
Author(s)	Madonna Harrington Meyer
Journal title	Research on Aging, vol 23, no 5, September 2001
Pages	pp 532-551
Keywords	Admission [nursing homes] ; Economic status [elderly] ; Social characteristics [elderly] ; United States of America.
Annotation	Medicaid and private pay rates vary across the US, which may create economic incentives for nursing homes to discriminate against Medicaid applicants. The 1997 National Nursing Home Survey of Current Residents provides the opportunity to develop a ratio of Medicaid to private pay rates for a national representative sample of more than 6,000 residents. Even when controlling for sex, race, marital status and functional level, residents are less likely to be on Medicaid at admission when the ratio is small than when it is close to 1.0. Older Blacks, Hispanics and older unmarried people are more likely to be on Medicaid; therefore, they are more likely to face delay or denial of admission. A possible policy resolution comes from Minnesota, where an equalisation law requires nursing homes and welfare state officials to work together to set rates, making discrimination practices against vulnerable groups illegal. (RH).
Accession Number	CPA-010907202 A
Classmark	LHB:QKH: F:W: F: 7T
Data © Centre for Policy on Ageing

...from the Ageinfo database published by Centre for Policy on Ageing.