On the Distribution and Dynamics of Medical Expenditure Among the Elderly

Using data from the Health and Retirement Study linked to administrative Medicare and Medicaid records along with the Medical Expenditure Panel Survey, we estimate the stochastic process for total and out-of-pocket medical spending. By focusing on dynamics, we consider not…

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The Lifetime Risk of Spousal Nursing Home Use and its Economic Impact on the Community-Dwelling Spouse

A single person in a nursing home is relatively well-protected financially from nursing home expenses because Medicaid covers these once assets are depleted. Couples, however, are less well protected, because the high cost of nursing homes rapidly depletes household assets,…

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Nursing Homes in Equilibrium: Implications for Long-term Care Policies

We build an equilibrium model of the market for nursing home care with decision-makers on both sides of the market. The nursing home demand arises as a result of stochastic dynamic optimizations by households heterogeneous in age, health, wealth; and…

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The Lifetime Risk of Spousal Nursing Home Use and its Economic Impact on the Community-Dwelling Spouse

A single person in a nursing home is relatively well protected financially, because Medicaid covers nursing home expenses once assets are depleted. Couples, however, are less well protected. For them a great financial threat is that one spouse moves to…

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Nursing Homes in Equilibrium: Implications for Long-term Care Policies

Long-term care is one of the most significant risks Americans face in late life. About a third of Americans older than age 70 need help with Activities of Daily Living, requiring either a nursing home or community- and home-based care.…

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The Growth and Geographical Variation of Nursing Home Self-Pay Prices

Nursing home care is arguably the largest financial risk for the elderly without private or social insurance coverage. The annual out-of-pocket expenditure can easily exceed $70,000. Despite the substantial financial burdens on the elderly, the understanding of nursing home self-pay…

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