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Medicaid and long-term care : the effects of penalizing strategic asset transfers
Recurso electrónico / Electronic resource
Registro MARC
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008  210219e20210301usa|||p |0|||b|eng d
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100  ‎$0‎​MAPA20210003189‎$a‎​Liu, Junhao ‌
24510‎$a‎​Medicaid and long-term care‎$b‎​: the effects of penalizing strategic asset transfers‎$c‎​Junhao Liu, Anita Mukherjee
520  ‎$a‎​Medicaid provides a critical source of insurance for long term care, and individuals may strategically offload assets (typically to children) to meet the means-tested eligibility requirement. In this article, we quantify the extent of such behavior using variation in the penalty for improper parent-to-child transfers induced by the Deficit Reduction Act of 2005. We estimate difference-indifferences models based on the hypothesis that only individuals with high levels of nursing home risk (high risk) will alter transfers because of the Act. We find that a 2-year horizon, high-risk individuals reduced transfers to children on the extensive margin by 11 percent and that the average total amount of transfers decreased by $4,860. The results hold only for coupled respondents. We also conduct a tripledifferences analysis to examine heterogeneity with financial literacy and find that even those with a low level of financial literacy responded to the penalty.
650 4‎$0‎​MAPA20080603786‎$a‎​Seguro de dependencia ‌
650 4‎$0‎​MAPA20080587901‎$a‎​Seguro de personas ‌
650 4‎$0‎​MAPA20080539344‎$a‎​Niños ‌
650 4‎$0‎​MAPA20080548100‎$a‎​Medicaid ‌
651 1‎$0‎​MAPA20080638337‎$a‎​Estados Unidos ‌
7001 ‎$0‎​MAPA20080078904‎$a‎​Mukherjee, A. ‌
7730 ‎$w‎​MAP20077000727‎$t‎​The Journal of risk and insurance‎$d‎​Nueva York : The American Risk and Insurance Association, 1964-‎$x‎​0022-4367‎$g‎​01/03/2021 Volumen 88 Número 1 - marzo 2021 , p. 53-77