Medicaid and the Elderly
AbstractWe describe the Medicaid eligibility rules for the elderly. Medicaid is administered jointly by the Federal and state governments, and each state has significant flexibility on the details of the implementation. We document the features common to all states, but we also highlight the most salient state-level differences. There are two main pathways to Medicaid eligibility for people over age 65: either having low assets and income, or being impoverished due to large medical expenses. The first group of recipients (the categorically needy) mostly includes life-long poor individuals, while the second group (the medically needy) includes people who might have earned substantial amounts of money during their lifetime but have become impoverished by large medical expenses. The categorically needy program thus only affects the savings decision of people who have been poor throughout most of their lives. In contrast, the medically needy program provides some insurance even to people who have higher income and assets. Thus, this second pathway is to some extent going to affect the savings of the relatively higher income and assets people.
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Bibliographic InfoPaper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 17689.
Date of creation: Dec 2011
Date of revision:
Publication status: published as Mariacristina De Nardi & Eric French & John Bailey Jones & Angshuman Gooptu, 2012. "Medicaid and the elderly," Economic Perspectives, Federal Reserve Bank of Chicago, issue Q I, pages 17-34.
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Other versions of this item:
- H1 - Public Economics - - Structure and Scope of Government
- H31 - Public Economics - - Fiscal Policies and Behavior of Economic Agents - - - Household
- I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
This paper has been announced in the following NEP Reports:
- NEP-AGE-2012-01-03 (Economics of Ageing)
- NEP-ALL-2012-01-03 (All new papers)
- NEP-HEA-2012-01-03 (Health Economics)
- NEP-IAS-2012-01-03 (Insurance Economics)
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- Mariacristina De Nardi & Eric French & John Bailey Jones, 2012.
"Medicaid insurance in old age,"
Working Paper Series
WP-2012-13, Federal Reserve Bank of Chicago.
- Mariacristina De Nardi & Eric French & John Bailey Jones, 2013. "Medicaid Insurance in Old Age," NBER Working Papers 19151, National Bureau of Economic Research, Inc.
- Mariacristina De Nardi & Eric French & John Bailey Jones, 2012. "Medicaid Insurance in Old Age," Working Papers wp278, University of Michigan, Michigan Retirement Research Center.
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