title: Medicaid estate planning: perceptions of morality and necessity.
abstract: OBJECTIVE
  Although several studies have examined the magnitude and prevalence of Medicaid estate planning (MEP), little is known about factors that influence individual behaviors in this area. Normative data regarding public perceptions of and motivations for MEP are nonexistent. This study explored views about MEP among community-dwelling older adults and family caregivers.
  
  
  METHODS
  Eighteen focus groups were completed (N = 155), with a stratified homogeneous sample to ensure representation from individuals of varying race/ethnicity, experience with nursing home and home care services, and socioeconomic status. Analyses of transcripts were completed with NUD*IST 4.0 software.
  
  
  RESULTS
  Disincentives for MEP included losing control of one's assets, Medicaid stigma, and perceived immorality of MEP. Incentives for MEP included preservation of one's estate and protection of a spouse. Finally, variability in accessibility to and awareness of MEP was described.
  
  
  CONCLUSIONS
  This exploratory study identifies motivations for individual behaviors and describes evolving social norms regarding MEP; implications for policy and research are discussed.
authors.affiliation: Braceland Center for Mental Health and Aging, Institute of Living, Hartford Hospital's Mental Health Network, CT, USA. lcurry@harthosp.org
authors.forename: L
authors.initials: L
authors.lastname: Curry
authors.forename: C
authors.initials: C
authors.lastname: Gruman
authors.forename: J
authors.initials: J
authors.lastname: Robison
mesh_terms: D000368:Aged; D004493:Education; D005260:Female; D017144:Focus Groups; D006801:Humans; D007182:Income; D008134:Long-Term Care / Q000191:economics*; D008297:Male; D008484:Medicaid / Q000191:economics; D008875:Middle Aged; D009014:Morals; D009735:Nursing Homes / Q000191:economics*; D012106:Research; D012959:Socioeconomic Factors; D014481:United States