The Relationship Between State Medicaid HCBS Programs and Family Caregiving
2024

The Relationship Between State Medicaid HCBS Programs and Family Caregiving

publication

Author Information

Author(s): Thunell Johanna, Parrish Elise, Miller Katherine

Hypothesis

Do Medicaid HCBS programs that provide payments to family caregivers affect the likelihood of receiving care?

Conclusion

States that allow payments to family caregivers increase the likelihood of receiving care from family members while reducing reliance on formal care.

Supporting Evidence

  • Programs that pay family caregivers can help older adults age in place.
  • The study found a 2.2 percentage point increase in family care when payments are allowed.

Takeaway

If states help pay family members to take care of older people, more older people get help from their family instead of from paid caregivers.

Methodology

Used multinomial logistic regression on NHATS data from 2011-2019 to analyze caregiving patterns.

Limitations

The study is limited to geographic-restricted NHATS data and may not represent all states or populations.

Participant Demographics

Respondents with at least one functional limitation.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.1047

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