Wealth and the utilization of long-term care services: evidence from the United States

Jing Dong (), Daifeng He, John A. Nyman and R. Tamara Konetzka
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Jing Dong: University of Chicago
Daifeng He: Swarthmore College
John A. Nyman: University of Minnesota
R. Tamara Konetzka: University of Chicago

International Journal of Health Economics and Management, 2021, vol. 21, issue 3, No 4, 345-366

Abstract: Abstract Long-term care (LTC) provision and financing has become a major challenge for policymakers in the United States and worldwide. To inform associated policies and more efficiently allocate LTC resources, it is important to understand how demand for different types of LTC services responds to increased wealth. We use data from the United States Health and Retirement Study to examine the use of LTC services following plausibly exogenous positive shocks to wealth. We further account for time-invariant household-level characteristics, including the expectation of a wealth shock at an unknown future time, by employing household fixed effects. We find that large positive wealth shocks lead to a greater probability of purchase of paid home care but not of nursing home care. Our results imply that expanding home and community-based services and insurance coverage of home care for people without sufficient wealth is likely to be efficient and welfare improving and should be considered by policymakers.Please confirm if the author names are presented accurately and in the correct sequence (given name, middle name/initial, family name). Author 4 Given name: [R. Tamara] Last name: [Konetzka]. Also, kindly confirm the details in the metadata are correct.confirmedPlease confirm the city are correct and amend if necessary in Affiliations 1, 2, 3, 4.confirmed

Keywords: Wealth effect; Long-term care financing; Nursing home; Home care (search for similar items in EconPapers)
JEL-codes: I12 I18 J14 (search for similar items in EconPapers)
Date: 2021
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Citations: View citations in EconPapers (1)

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DOI: 10.1007/s10754-021-09299-1

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