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Centre for Policy on Ageing | |
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| Formation of trusts and spend down to Medicaid | | Author(s) | Donald H Taylor Jr, Frank A Sloan, Edward C Norton |
| Journal title | The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, vol 54B, no 4, July 1999 |
| Pages | pp S194-201 |
| Keywords | Health services ; Nursing homes ; Costs [care] ; Charities ; Living in the community ; United States of America. |
| Annotation | The study's objectives were to identify the proportion of community-dwelling older Americans (aged 70 and over) who could affect their eligibility for Medicaid financing of a nursing home through the use of a trust, and to quantify the prevalence and predictors of trusts. State-specific Medicaid eligibility regulations were used to determine eligibility, and to identify those who could affect the same through use of trusts. Multivariate logistic regression was used to identify correlates of having a trust. Wave 1 of the US Assets and Health Dynamics of the Oldest Old (AHEAD) database was used. Four in ten older people living in the community could potentially qualify for Medicaid by using a trust. However, less than 10% had a trust. On average, wealthier people had trusts. Avoidance of probate and controlling assets after death appear to be stronger motivations for trust creation among older people than achieving Medicaid spend down. The use of trusts was uncommon, and motives other than spend down were more important for those with trusts. Results suggest little need for policy efforts to limit the use of trusts to achieve spend down. (RH). |
| Accession Number | CPA-991220211 A |
| Classmark | L: LHB: QDC: PL: K4: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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