This paper introduces a methodology for estimating transition intensities in a multi-state model for disability and long-term care insurance. We propose a novel framework that integrates observable risk factors, such as demographic (age and sex), lifestyle (smoking and exercise habits) and...

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...

The German universal long-term care (LTC) insurance program offers beneficiaries the choice between in-kind services and a cash benefit, which can be used for anything, including informal care. The optimal level of the cash benefit de- pends on substitution between formal and informal care...

Population ageing will reshape economies around the world, with particular implications for longterm care (LTC) systems. As a result of past fertility decline, reflected in high levels of childlessness and smaller family networks, the growing demand for care is confronted by a declining supply...

This paper describes a novel method for the comparative estimation of long-term care needs, care arrangements and care gaps. Our approach generalizes an Austrian administrative procedure for the assessment of care needs and uses data from the Survey of Health, Ageing and Retirement in Europe...

One challenge presented by population aging is how to adjust public support for social care in a way that achieves desired quality of life outcomes without compromising budget sustainability. This study uses best-practice methods of economic analysis to explore projections for care and related...

Estimates of social insurance pension wealth are available for a number of Western economies, including Austria for the year 2017. Such wealth may be compared with conventional wealth in terms of size and distribution and when we add such estimates to measures of wealth in the conventional...

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....

We study the effect of care dependence on hospitalizations among older persons in Mexico, analyzing data from the Mexican Health and Aging Study (MHAS) from 2001 to 2021. We use fixed-effects logistic regression to estimate the likelihood of hospitalization during the last year (yes/no) and...

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...

Leveraging nationally representative data from the 2011-2018 Chinese Longitudinal Healthy Longevity Study (CLHLS), this study examines the impact of spousal death on long-term care (LTC) needs among Chinese older adults aged 60 and above. Our results show that spousal bereavement significantly...

The German universal long-term care (LTC) insurance program offers beneficiaries the choice between in-kind services and a cash benefit, which can be used for anything, including informal care. The optimal level of the cash benefit depends on substitution between formal and informal care...

Poland has experienced a powerful demographic shift, driven predominantly by increased life expectancy, a sizable baby boomer generation nearing retirement, and persistently low birth rates. Poland is characterized by demographic and spatial disparities, where life expectancy differs...

As populations in Asia and Europe face unprecedented levels of ageing, the demand for long-term care (LTC) is escalating, thereby challenging the sustainability of social protection systems. This paper employs a novel dynamic microsimulation model to project LTC demand and supply in Austria and...

The Chinese government announced the pilot of public long-term care insurance (LTCI) policy in 2016. While most studies focus on LTCI's effects on labor supply and retirement behavior, its effect on retirement intentions, which offer certain advantages over actual behavior, remains unclear. This...

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...

We leverage decades of administrative data and quasi-experimental variation in the introduction of universal long-term care (LTC) insurance in Germany in 1995 to examine whether health insurance expansions can stimulate local economies. We find that the LTC insurance rollout led not only to...

Die Bund-Länder-Kommission "Zukunftspakt Pflege" soll bis zum Jahresende 2025 Grundlagen für eine Pflegereform erarbeiten. Ihr Arbeitsauftrag steht unter dem Oberziel der Beitragssatzstabilität. Dazu beschäftigt sich die Kommission unter anderem mit der Frage, ob eine erweiterte...

Die Bund-Länder-Kommission "Zukunftspakt Pflege" soll bis zum Jahresende 2025 Grundlagen für eine Pflegereform erarbeiten. Ihr Arbeitsauftrag steht unter dem Oberziel der Beitragssatzstabilität. Dazu beschäftigt sich die Kommission unter anderem mit der Frage, ob eine erweiterte...

Hintergrund: Seit Einführung des neuen Pflegebedürftigkeitsbegriffs 2017 ist die Anzahl der Leistungsempfänger in der gesetzlichen Pflegeversicherung deutlich über das demografisch zu erwartende Ausmaß angestiegen. In der Folge sind die Beitragssätze in der Sozialen Pflegeversicherung und...

This paper examines the impact of Long-Term Care Insurance (LTCI) policy on the development of elderly care enterprises in China. Employing a policy shock and a difference-in-differences design, we find that the implementation of LTCI significantly promotes the the number of new entries and...

The financing of long-term care services and supports (LTSS) relies heavily on self-insurance in the form of housing or financial wealth. Exploiting both local market variation in housing prices and individual-level variation in stock market wealth from 1996 to 2016, we document that exogenous...

The financing of long-term care services and supports (LTSS) relies heavily on self-insurance in the form of housing or financial wealth. Exploiting both local market variation in housing prices and individual-level variation in stock market wealth from 1996 to 2016, we document that exogenous...

As populations age, the sustainability of long-term care systems increasingly depends on the availability of informal care, particularly from partners. This paper addresses the question of how much care we may expect partners to provide in the future by projecting demand for long-term care...

Estate recovery is a policy whereby the state recovers public long-term care (LTC) benefits from the estates of deceased beneficiaries. Using data from a Swiss survey, this study examines which individuals are most responsive to estate recovery in their decisions to purchase LTC insurance and...

We examine the impact of migrant-provided home-based care on elderly health in Italy, focusing on hospitalisation frequency, length of stay, and mortality. To address potential endogeneity between local health conditions and immigrant settlement , we use an instrumental variable approach. Our...