Shifting care patterns: How Medicaid policies shape family and formal care use.

ABSTRACT:

Introduction

Medicaid programs can support aging in place by paying for care provided by direct care workers (i.e., formal care) and providing financial support, education, and training to otherwise unpaid family members and friends (i.e., family care).

Methods

We used nationally representative data of adults 70 years and older with functional limitation(s)-and the subsamples with dementia, enrolled in Medicaid, or rural residents-and multinomial regressions to estimate the relationship between Medicaid waivers paying family caregivers and the types of care received.

Results

Adjusting for demographics and family structure, living in a state with waiver payments for family caregivers decreased the probability of receiving formal care alone and increased the probability

SUBMITTER: Thunell J 

PROVIDER: S-EPMC12453952 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature