You know that $\binom{a+b}a$ is an integer, and from its formula involving factorials (or otherwise), we have that $\binom{a+b}{a}=\frac{a+b}a\binom{a+b-1}{a-1}$, which means that $$\frac1{a+b}\binom{a+b}{a}=\frac1a\binom{a+b-1}{a-1}. $$ Now, since $\mathrm{gcd}(a+b,a)=1$, and $\frac{a+b}a\binom{a+b-1}{a-1}$ is an integer, it follows that $a$ divides $\binom{a+b-1}{a-1}$, and we are done. (In general, if $\mathrm{gcd}(\alpha,\beta)=1$ and $\alpha$ divides $\beta\gamma$, then $\alpha$ divides $\gamma$.)