Jump to main navigation. Jump to main content

The CURA publications library is currently being digitized by the University of Minnesota Digital Conservancy. When the project is complete, the entire CURA publications library will be online and fully searchable. Unfortunately, during this process we are not able to honor individual requests for publications . Additionally, we no longer have physical copies of publications to send out.

New publications are digitized daily and the publications catalog on the CURA website is not automatically updated with links to scanned copies, so please search the CURA collection at the Digital Conservancy for the publications you are looking for:

Medicaid and the Challenge of Paying for Nursing Home Care.

Stum, Marlene and Estelle Brouwer.

Medicaid is taking an increasingly large bite out of government budgets and the bulk of Medicaid money goes to pay for nursing home care. Medicaid estate planning is a practice of intentionally transferring wealth to others in the family so that the elder qualifies for Medicaid coverage and avoids paying the long term care costs of a nursing home. How prevalent is the practice? What family resources are being used to meet the needs of elders with chronic illnesses like Parkinson's and Alzheimer's? This 1996 study examines family decision making about financing nursing home care through in-depth interviews with elders and their families and with the professionals who advise them. The report finds that most elders do not plan for extended illness. It looks at the goals that families have when dealing with a chronic illness, how care needs are being met, and how nursing home expenses are being paid. The public policy implications of these findings are explicitly laid out.

CURA Reporter
Publication date: 
Minneapolis: Center for Urban and Regional Affairs, University of Minnesota.
26 (1): 13-18.
Online availability
Download from CURA: 
CURA call number: 
Reporter 26 (1)