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...

Europe's demographic shift is putting increasing pressure on long-term care (LTC) systems and raising concerns about the sustainability of LTC financing. This paper analyses Austria's LTC system, particularly its universal long-term care allowance (LTCA), and uses a dynamic microsimulation model...

We use administrative microdata and statistical learning methods to analyze how personal characteristics and the consumption of healthcare services help predict the first-time receipt of "long-term care allowance" (LTCA), a needs-tested cash-for-care benefit in Austria. Our findings suggest that...

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...

Mit der Covid-Pandemie rückte die Pflegebranche in den Fokus der Öffentlichkeit, im Blick von Finanzinvestoren war sie schon früher: 2018 lag die Pflegebranche bei den Aktivitäten von Private-Equity-Investoren an erster Stelle, 2022 gehörten rund 30 Prozent der Pflegeheimplätze in...

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...

Mit der Covid-Pandemie rückte die Pflegebranche in den Fokus der Öffentlichkeit, im Blick von Finanzinvestoren war sie schon früher: 2018 lag die Pflegebranche bei den Aktivitäten von Private-Equity-Investoren an erster Stelle, 2022 gehörten rund 30 Prozent der Pflegeheimplätze in...

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...

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...