Medicaid and the Elderly

35 Pages Posted: 25 Dec 2011 Last revised: 6 Jan 2012

See all articles by Mariacristina De Nardi

Mariacristina De Nardi

University College London, Economics Dpt.; Federal Reserve Bank of Chicago; National Bureau of Economic Research (NBER) - Public Economics

Eric French

Department of Economics; Institute for Fiscal Studies (IFS)

John Bailey Jones

Federal Reserve Bank of Richmond; SUNY at Albany - School of Business

Angshuman Gooptu

affiliation not provided to SSRN

Multiple version iconThere are 2 versions of this paper

Date Written: December 2011

Abstract

We 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.

Suggested Citation

De Nardi, Mariacristina and French, Eric and Jones, John B. and Gooptu, Angshuman, Medicaid and the Elderly (December 2011). NBER Working Paper No. w17689, Available at SSRN: https://ssrn.com/abstract=1976485

Mariacristina De Nardi (Contact Author)

University College London, Economics Dpt. ( email )

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Eric French

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John B. Jones

Federal Reserve Bank of Richmond ( email )

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SUNY at Albany - School of Business ( email )

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Angshuman Gooptu

affiliation not provided to SSRN ( email )

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