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Displaying results 1 to 10 of 10.

  1. The unintended effect of Medicaid aging waivers on informal caregiving
    Author: Liu, Yinan; Zai, Xianhua
    Published: [2023]
    Publisher:  Max Planck Institute for Demographic Research, Rostock, Germany

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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
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    Series: MPIDR working paper ; WP 2023, 006 (February 2023)
    Subjects: Medicaid Aging Waiver; Long-Term Care; HRS; Informal Care
    Scope: 1 Online-Ressource (circa 72 Seiten), Illustrationen
  2. Patient versus provider incentives in long-term care
    Author: Hackmann, Martin B.; Pohl, R. Vincent; Ziebarth, Nicolas R.
    Published: [2023]
    Publisher:  ZEW - Leibniz Centre for European Economic Research, Mannheim, Germany

    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... more

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    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, when facility capacity binds, nursing homes shorten Medicaid stays to admit more profitable out-of-pocket private payers. Third, providers react more elastically to financial incentives than patients. Thus, targeting provider incentives through alternative payment models, such as episode-based reimbursement, is more effective than increasing patient cost-sharing in facilitating transitions to community-based care and generating long-term care savings.

     
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Other identifier:
    hdl: 10419/280928
    Series: Discussion paper / ZEW ; no. 23, 055 (11/2023)
    Subjects: Long-Term Care; Nursing Homes; Patient Incentives; Provider Incentives; Cost-Sharing; Episode-Based Reimbursement; Medicaid
    Scope: 1 Online-Ressource (circa 97 Seiten), Illustrationen
  3. Does aging at home make older adults healthy
    evidence from medicaid home and community-based services
    Author: Liu, Yinan; Zai, Xianhua
    Published: 2022
    Publisher:  Global Labor Organization (GLO), Essen

    The Medicaid Home and Community-Based Services (HCBS) subsidizes long-term care to satisfy the increasing desire to age at home among older adults. The HCBS program may improve health outcomes of this population by allowing them to age-in-place, but... more

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    The Medicaid Home and Community-Based Services (HCBS) subsidizes long-term care to satisfy the increasing desire to age at home among older adults. The HCBS program may improve health outcomes of this population by allowing them to age-in-place, but less quality and quantity of home-based care comparing to nursing home care could offset some of the potential benefits. We use plausibly exogenous policy expenditure across states over time linked with detailed health information from the restricted Health and Retirement Study (HRS) to identify the causal effects of HCBS on general health, physical health, and mental health of older adults. Overall, our findings suggest that HCBS is beneficial to health: a $1,000 increase in HCBS per older person improves health status by 6 percent, mitigates functional mobility limitations by 5 percent, and reduces negative psychological feelings by 10 percent. The positive effect on physical health is concentrated among people with limited financial resources, while the reducing impact on mental health is significant among the richer group. The HCBS program improves health outcomes mainly through three mechanisms: decreasing risk behavior on drinking, increasing healthcare use, and spending more time accompanying with family.

     
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Other identifier:
    hdl: 10419/261084
    Series: GLO discussion paper ; no. 1079
    Subjects: Medicaid HCBS; Long-Term Care; Health; Aging
    Scope: 1 Online-Ressource (circa 67 Seiten), Illustrationen
  4. The benefits of medicaid home and community-based services on health
    Author: Liu, Yinan; Zai, Xianhua
    Published: 2022
    Publisher:  Global Labor Organization (GLO), Essen

    The Medicaid Home and Community- Based Services (HCBS) program in the United States subsidizes the long-term care provided at home or in community-based settings for older adults. Little is known about how HCBS affects the well-being of the aging... more

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    The Medicaid Home and Community- Based Services (HCBS) program in the United States subsidizes the long-term care provided at home or in community-based settings for older adults. Little is known about how HCBS affects the well-being of the aging population. Using detailed information about health from the Health and Retirement Study (HRS) linked with state-level HCBS policy expenditures, we show that HCBS is beneficial to improve general health outcomes of older individuals. Our results find that HCBS generosity is positively associated with the probability of older individuals self-reporting better health status, mitigating functional mobility limitations, showing better emotional feelings, and increasing cognitive skills. In addition, these health benefits of HCBS differ across groups by resources and demographic characteristics.

     
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Other identifier:
    hdl: 10419/251821
    Series: GLO discussion paper ; no. 1079
    Subjects: Medicaid HCBS; Long-Term Care; Health
    Scope: 1 Online-Ressource (circa 57 Seiten), Illustrationen
  5. Nursing home aversion post-pandemic
    implications for savings and long-term care policy
    Author: Achou, Bertrand; De Donder, Philippe; Glenzer, Franca; Lee, Minjoon; Leroux, Marie-Louise
    Published: [2021]
    Publisher:  [ESG UQÀM, Département des sciences économiques, École des sciences de la gestion, Université du Québec à Montréal], [Montréal]

    COVID-19 outbreaks at nursing homes during the recent pandemic, which received ample media coverage, may have lasting negative impacts on individuals’ perceptions regarding nursing homes. We argue that this could have sizable and persistent... more

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    COVID-19 outbreaks at nursing homes during the recent pandemic, which received ample media coverage, may have lasting negative impacts on individuals’ perceptions regarding nursing homes. We argue that this could have sizable and persistent implications for savings and long-term care policies. We first develop a theoretical model predicting that higher nursing home aversion should induce higher savings and stronger support for policies subsidizing home care. We further document, based on a survey on Canadians in their 50s and 60s, that higher nursing home aversion is widespread: 72% of respondents are less inclined to enter a nursing home because of the pandemic. Consistent with our model, we find that the latter are much more likely to have higher intended savings for older age because of the pandemic. We also find that they are more likely to strongly support home care subsidies.

     
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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Other identifier:
    hdl: 10419/264150
    Series: Document de travail / ESG UQÀM, Département des sciences économiques, École des sciences de la gestion, Université du Québec à Montréal ; no. 2021, 08 (Septembre 2021)
    Subjects: Pandemic Risk; Nursing Home; Long-Term Care; Savings; Public Policy
    Scope: 1 Online-Ressource (circa 58 Seiten), Illustrationen
  6. Optimal demand for medical and long-term care
    Author: Schünemann, Johannes; Strulik, Holger; Trimborn, Timo
    Published: [2021]
    Publisher:  Aarhus BSS, Department of Economics and Business Economics, Aarhus University, Aarhus

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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Series: Economics working papers ; 2021, 07
    Subjects: Health; Long-Term Care; Health Behavior; Life Expectancy
    Scope: 1 Online-Ressource (circa 29 Seiten), Illustrationen
  7. Nursing home aversion post-pandemic
    implications for savings and long-term care policy
    Author: Achou, Bertrand; De Donder, Philippe; Glenzer, Franca; Lee, Minjoon; Leroux, Marie-Louise
    Published: [2021]
    Publisher:  CIRANO, [Montréal]

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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Series: Cahier scientifique / CIRANO ; 2021s, 35
    Subjects: Pandemic Risk; Nursing Home; Long-Term Care; Savings; Public Policy
    Scope: 1 Online-Ressource (circa 59 Seiten), Illustrationen
  8. Nursing home aversion post-pandemic
    implications for savings and long-term care policy
    Author: Achou, Bertrand; De Donder, Philippe; Glenzer, Franca; Lee, Minjoon; Leroux, Marie-Louise
    Published: September 2021
    Publisher:  Retirement and Savings Institute, [Montréal]

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    Source: Union catalogues
    Language: English
    Media type: Book
    Format: Online
    Series: Working paper / Institut sur la retraite et l'épargne, HEC Montréal ; no. 7
    Subjects: Pandemic Risk; Nursing Home; Long-Term Care; Savings; Public Policy
    Scope: 1 Online-Ressource (circa 58 Seiten), Illustrationen
  9. Nursing home aversion post-pandemic
    implications for savings and long-term care policy
    Author: Achou, Bertrand; De Donder, Philippe; Glenzer, Franca; Lee, Minjoon; Leroux, Marie-Louise
    Published: September 2021
    Publisher:  Toulouse School of Economics, [Toulouse]

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    Source: Union catalogues
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    Media type: Book
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    Series: Working papers / Toulouse School of Economics ; no 1249
    Subjects: Pandemic Risk; Nursing Home; Long-Term Care; Savings; Public Policy
    Scope: 1 Online-Ressource (circa 57 Seiten), Illustrationen
  10. United, we can be stronger!
    French integrated general practitioners had better chronic care follow-up during lockdown
    Author: Zajceva, Anna; Verger, Pierre; Ventelou, Bruno
    Published: [2021]
    Publisher:  Aix-Marseille School of Economics, [Aix-en-Provence

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    Source: Union catalogues
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    Media type: Book
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    Series: Working papers / AMSE, Aix-Marseille School of Economics ; WP 2021, nr 32
    Subjects: General Practitioners; France; Provider-Sponsored Organizations; Long-Term Care
    Scope: 1 Online-Ressource (circa 13 Seiten)