The Medicare hospice program is intended to provide palliative care to terminal patients, but patients with long stays in hospice are highly profitable, motivating concerns about overuse among the Alzheimer's and Dementia (ADRD) population in the rapidly growing for-profit sector. We provide the...

Die vorliegende Studie diskutiert die Prognoseergebnisse für die Kostenentwicklung im Bereich der obligatorischen Kranken- und Pflegeversicherung (OKP). Innerhalb der deskriptiven Diskussion der Datenlage werden für die Kostengruppen wie auch die Kantone die letztjährigen Wachstumsraten mit...

We show that a Scottish policy reform, which introduced free formal personal home care for those aged 65 and above, reduced the probability and the hours of receiving informal personal care. Moreover, we find that the group of individuals that most benefited from the policy introduction, i.e....

Die Bedeutung der Pflege wird von der Gesundheitsökonomik meist vernachlässigt. Die Gesundheitspolitik muss sich damit beschäftigen, da die Versorgung der Pflegebedürftigen nicht mehr gesichert scheint. In diesem Buch wird der Pflegebereich umfassend dargestellt, d. h. sowohl die Pflege nach...

The Final Report of the Royal Commission into Aged Care Quality and Safety (2021) highlighted the challenges in developing a sustainable financing system for Aged Care in Australia. The Report recommended additional funding both in the short term and longer term, to provide an adequate level of...

A statutory scheme for the financing and regulation of home support services is a key Sláintecare reform proposal. An Economic and Social Research Institute report entitled "Demand for the Statutory Home Support Scheme" is the first of three research projects funded by the Department of Health...

We study the design of social long-term care (LTC) insurance when informal care is exchange-based. Parents do not observe their children's cost of providing care, which is continuously distributed over some interval. They choose a rule specifying transfers that are conditional on the level of...

The demand for help with daily activities – so-called long-term care – is set to increase in Croatia. The population is ageing at a faster rate than the EU average, and by 2050, about one-third of the population is projected to be aged 65 years and over. In addition, with one of the highest...

This report presents an in-depth cross-country analysis of how long-term care workers fare along the different dimensions of job quality. In the initial stages of the COVID-19 pandemic, the applause for care workers was a clear expression of the strong recognition of their hard work and exposure...

This paper develops a model of the nursing home industry to investigate the quality effects of policies that either raise regulated reimbursement rates or increase local competition. Using data from Pennsylvania, I estimate the parameters of the model. The findings indicate that nursing homes...

Many quantitative empirical studies of retirement preparedness find that a substantial number of US households face a potential financial crisis at some point in the future. This monograph provides a critical survey of the most important and best-known of these studies, and it also examines the...

Vor dem Hintergrund stark steigender Pflegekosten rückt die Finanzierung und Orga-nisation der Langzeitpflege in den Fokus der politischen Debatte. Wir vergleichen fünf Finanzierungsvarianten für die Langzeitpflege anhand der vier Kriterien soziale Gerechtigkeit, Wirtschaftlichkeit,...

Angesichts eines weiter zunehmenden Pflegebedarfs in Deutschland rückt auch die Frage der Pflegefinanzierung immer stärker in den Fokus der öffentlichen Debatte. Durch die Ausgestaltung der Pflegeversicherung als Teilleistungsversicherung werden nicht alle Pflegekosten über-nommen und die...

We study the design of social long-term care (LTC) insurance when informal care is exchange-based. Parents do not observe their children's cost of providing care, which is continuously distributed over some interval. They choose a rule specifying transfers that are conditional on the level of...

Die Organisation und Finanzierung der Langzeitpflege kann als eine der wichtigsten gesellschaftlichen Aufgaben des 21. Jahrhunderts betrachtet werden. Aufgrund des rapiden Anstiegs der Anzahl der über 80‐Jährigen werden die Ausgaben für die Lang‐ zeitpflege im Verhältnis zum...

Die gesetzliche Pflegeversicherung ist als Teilleistungsversicherung konzipiert, ein Teil der tatsächlich anfallenden Pflegekosten muss seit jeher von den Pflegebedürftigen selbst getragen werden. Allerdings ist dieser selbst zu finanzierende Anteil an den Pflegekosten seit Einführung der...

Wie haben sich die Preiskomponenten in der stationären Pflege - Pflegesätze, Entgelt für Unterkunft und Verpflegung sowie Investitionskostenanteil - in den vergangenen Jahren entwickelt? Stimmt es, dass Pflege immer teurer geworden ist? Diesen Fragen wird hier nachgegangen. Es zeigt sich ein...

Informal carers – family and friends who perform care - are the first line of support for older people. About 60% of older people who receive care at home report receiving only informal care across OECD countries. While informal carers help to contain public costs, those costs are borne...

Building on previous OECD Health Working Papers on the economics of patient safety, this paper firstly provides an update on the health burden, and financial and economic cost of unsafe care. It then summarises the evidence on the cost-effectiveness and return on investment of various programmes...

This study focuses on financing for long-term care (LTC). LTC involves a range of services including medical and nursing care, personal care services, assistance services and social services that help people live independently or in residential settings when they can no longer carry out routine...

Chapter 1. Social care work matters -- Chapter 2. Marketisation and cash-for-care -- Chapter 3. Perspectives on personalisation and the English social care experience -- Chapter 4. Imagining, making & managing cash for care in Australia -- Chapter 5: Regulating work, constructing workers --...

"Emma Dowling examines the care crisis in the UK, looking at the changes to the care system over the last decade. Dowling gives an account not only of the impact of austerity measures on care provision in the UK but also of the underlying logic of neoliberalism driving the crisis."

We investigate the impact of a policy reform, which introduced free formal personal care for all those aged 65 and above, on caregiving behaviour. Using a difference-in-differences estimator, we estimate that the free formal care reduced the probability of co-residential informal caregiving by...