Centre for Policy on Ageing



Do state Medicaid policies affect the risk of nursing home entry among the elderly? — evidence from the AHEAD study
Author(s)	Hakan Aykan
Journal title	Research on Aging, vol 24, no 5, September 2002
Pages	pp 487-512
Keywords	Health services ; Policy ; Admission [nursing homes] ; Longitudinal surveys ; United States of America.
Annotation	The effects of five US states' Medicaid policies on the risk of nursing home admission is investigated, using continuous-time hazard models to analyse longitudinal data from the 1993 and 1995 waves of the Asset and Health Dynamics Among the Oldest Old Survey (AHEAD). Separate models are developed for women and men, each controlling for a variety of demographic, socioeconomic and health-related characteristics of sample persons. Findings suggest that state Medicaid policies included in the analysis do not significantly affect men's and women's risk of nursing home use; rather, the strongest predictors of risk are health-related characteristics. Circumstantial evidence is presented to argue that the lack of policy effects might be due to changes in recent decades in health care policies driven by cost commitment efforts. (RH).
Accession Number	CPA-020924236 A
Classmark	L: QAD: LHB:QKH: 3J: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.