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Paying Family Caregivers: Self-direction in Medicaid Personal Care

Description
Compares characteristics of dually eligible older adults receiving caregiving through either self-direction and non-self-direction, including personal demographics, health conditions, healthcare utilization, and rurality. Discusses rural findings in light of workforce shortages in rural communities. Includes analysis of Medicaid data from 6 states with reliable self-direction data as well as analysis of characteristics for 41 states and Washington, D.C.
Author(s)
Yiqing Kuang, Katherine E.M. Miller
Citation
Health Affairs Scholar, 3(11)
Date
11/2025
Tagged as
Elderly population · Health conditions · Health workforce supply and demand · Informal caregivers · Medicaid · Medicare · Rural-urban differences · Statistics and data · California · Connecticut · Massachusetts · New Jersey · New York · Wisconsin