This study examines the implications of the rising person-centered care model on the long-term care market, specifically focusing on the promotion of higher single-room occupancy in nursing homes. We exploit the staggered implementation of a state-level policy that requires nursing homes to meet...

Growing needs for long-term care coupled with a dwindling supply of nursing personnel is a common challenge for developed countries. To uphold care standards, many countries introduced measures to safeguard staffing levels, e.g. by introducing minimum staffing regulations for nursing homes....

Healthcare firms are filing for Chapter 11 bankruptcy at record rates. We find that bankruptcies increase healthcare staff turnover, worsen care, and ultimately harm patients. Using a difference-in-differences design, we estimate that a bankruptcy filing immediately increases staff turnover...

This paper analyses the long-term care system in the context of Spain's aging population from a comparative and multilevel perspective. Starting with the European regulatory framework, it examines the main characteristics of long-term care systems in Europe and the challenges of establishing a...

Long-term care facilities (LTCFs) such as nursing homes or residential care homes, often serve as residencies for elderly individuals who have medical and social vulnerabilities. Before the COVID-19 pandemic, the EU/EEA lacked national incidence surveillance systems for healthcare-associated...

Many countries have implemented quasi-markets to enhance entrepreneurship and innovation in welfare service provision. However, the benefits have generally been limited; this can also be observed in Sweden, a country which stands out for its extensive use of quasi-markets. Based on the Swedish...

We study the design of optimal (private and/or social) insurance schemes for formal home care and institutional care. We consider a three period model. Individuals are either in good health, lightly dependent or heavily dependent. Lightly dependent individuals can buy formal home care which...

We study the design of optimal (private and/or social) insurance schemes for formal home care and institutional care. We consider a three period model. Individuals are either in good health, lightly dependent or heavily dependent. Lightly dependent individuals can buy formal home care which...

To contribute to the empirical literature on innovation in non-profit organizations, this study examines innovation in Private Social Solidarity Institutions with social responses for the elderly in Northern Portugal. It enriches the literature by clarifying the concept of innovation applied to...

A hospital stay dramatically increases the risk that an elderly person will require long-term care. Due to increasing staff shortages in German nursing homes, patients who require nursing home care directly after a hospital stay often struggle to find a nursing home bed. This paper studies how...

The price for institutional long-term care is a central determinant of the demand for formal and informal long-term care. In this paper, we show how macroeconomic conditions affect these prices. The analysis is based on administrative data that contains rich information on the universe of...

The price for institutional long-term care is a central determinant of the demand for formal and informal long-term care. In this paper, we show how macroeconomic conditions affect these prices. The analysis is based on administrative data that contains rich information on the universe of...

Long-term residential care (LTRC) is a key component of health and social care in Ireland. Prior to the pandemic, over 32,000 people used LTRC. As the population grows, especially at older ages, the importance of a LTRC sector that meets the needs of the population increases. The COVID-19...

This paper investigates how the type of home environment – family foster care or residential care – affects the adult outcomes of individuals who were raised in state care during adolescence. While it is established in the literature that living in residential care is detrimental for babies,...

Background The Affordable Care Act (ACA), enacted in 2010, aimed to improve healthcare coverage for American citizens. This study investigates the impact of Medicaid expansion (ME) under the ACA on the racial and ethnic com- position of nursing home admissions in the U.S., focusing on whether ME...

Die Studie untersucht die Fragmentierung des österreichischen Pflegesystems und beleuchtet regionale Unterschiede in den Regelungen der Pflegevorsorge in den einzelnen Bundesländern. Diese führen zu Unterschieden in der Verfügbarkeit und der Betreuungsintensität von Pflegeleistungen. Es...

The allocation of public care services should be determined by individual needs but can be influenced by economic factors. This paper examines the impact of economic incentives on the allocation of nursing home care in the Norwegian long-term care system. The study uses a theoretical model and...

Evaluating the relationship between health at old age and income is crucial for the design of equitable public policies targeted toward the elderly. Using 2016 Canadian survey data on adults aged between 50 and 70, we estimate the relationships between individual income, longevity and dependency...

Marginal utility of financial resources when needing long-term care, and the related incentives for precautionary savings and insurance, may vary significantly by whether one receives care at home or in a nursing home. In this paper, we develop strategic survey questions to estimate those...

This paper studies consumers' demand for quality in the nursing home market, where information frictions are a source of concern. Using administrative data on the universe of nursing home residents, I estimate quality of nursing homes in California, and use these estimates as inputs into a...

How do patient and provider incentives affect the provision of long-term care? Our analysis of 551 thousand nursing home stays yields three main insights. First, Medicaid-covered residents prolong their stays instead of transitioning to community-based care due to limited cost-sharing. Second,...

This paper examines the relationship between immigration enforcement and institutionalization rates of the elderly. Exploiting the staggered implementation of the Secure Communities (SC) immigration enforcement program across U.S. counties from 2008 through 2014, we show that SC led to a 0.26...

The allocation of public care services should be determined by individual needs but can be influenced by economic factors. This paper examines the impact of economic incentives on the allocation of nursing home care in the Norwegian long-term care system. The study uses a theoretical model and...

The Affordable Care Act (ACA), enacted in 2010 is an essential milestone for improving the health care coverage of American citizens. This article explores the effects of the Medicaid expansion under the Affordable Care Act on the racial diversity of the admissions of nursing home residents in...

This study investigates the effect of nursing home ownership on quality of care and prices under an unregulated price setting. Our theory model predicts that, compared to less profit-oriented homes, more profit-minded providers will either provide higher quality at higher prices, or lower...