ERIC Number: ED306518
Record Type: Non-Journal
Publication Date: 1989-Mar
Reference Count: N/A
Medicaid: Recoveries from Nursing Home Residents' Estates Could Offset Program Costs.
General Accounting Office, Washington, DC. Div. of Human Resources.
Through asset recovery programs, states can recover from the estates of nursing home residents or their survivors a portion of the expenses the state incurs in providing nursing home care. Estate recovery programs require Medicaid recipients whose primary assets are their homes to contribute toward the cost of their nursing home care in the same manner required of recipients whose assets are in the form of stocks, bonds, and cash. The General Accounting Office studied Medicaid nursing home programs in eight states, focusing particular attention on the estate recovery program operated by Oregon. The objective was to discover the potential financial impact of such programs on Medicaid and whether they provide a mechanism that is acceptable to the elderly for sharing the costs of nursing home care. Results showed that estate recovery programs provide a cost effective way to offset state and federal costs, while promoting more equitable treatment of Medicaid recipients. Oregon recovers about $10 for every $1 spent administering the program. In the eight states studied, as much as two-thirds of the amount spent for nursing home care for Medicaid recipients who owned a home could be recovered from their estates or the estates of their spouses. If implemented carefully, estate recovery programs can achieve savings, while treating the elderly equitably and humanely. (Charts, graphs, and tables illustrate the document.) (ABL)
Descriptors: Financial Support, Health Care Costs, Homeowners, Institutionalized Persons, Long Term Care, Nursing Homes, Older Adults
U.S. General Accounting Office, P.O. Box 6015, Gaithersburg, MD 20877 (1-5 copies, free; 6-99, $2.00 each; 25% discount for 100 or more).
Publication Type: Reports - General; Reports - Research
Education Level: N/A
Authoring Institution: General Accounting Office, Washington, DC. Div. of Human Resources.