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The demand for skills training among Medicaid home-based caregivers

Christopher Cronin and Ethan Lieber

Journal of Health Economics, 2024, vol. 95, issue C

Abstract: Medicaid spends nearly 100 billion dollars annually on home and community-based care for the disabled. Much of this care is provided by personal care aides, few of whom have received training related to the services they provide. We conducted a randomized controlled trial to estimate their demand for training. We find that 13 percent of these caregivers complete training without an incentive. Paying the caregivers four times their hourly wage increases training completion by roughly nine percentage points. Additional experimental variation suggests that among individuals confirmed to be aware of the training, the financial incentive increases completion from 35 to 58 percent. Demand curves based on these results suggest that while many caregivers value the opportunity to train, policies aimed at universal take up require large financial incentives.

Keywords: Skills training; Medicaid; Home and community based services; Caregiver; Demand for training; Marginal value of public funds (search for similar items in EconPapers)
JEL-codes: D61 H00 I18 I21 J44 J88 (search for similar items in EconPapers)
Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:95:y:2024:i:c:s0167629624000225

DOI: 10.1016/j.jhealeco.2024.102877

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