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Effects of Strategic Behavior and Public Subsidies on Families' Savings and Long-Term Care Decisions

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  • Sloan, Frank A.
  • Thomas J. Hoerger
  • Gabriel Picone

Abstract

This study investigates the effects of Medicaid and strategic behavior on (1) the probability of entering a nursing home, (2) amounts of formal and informal care provided elderly persons in the community, and (3) asset accumulation. We find that Medicaid subsidies increase the probabilyt of entry into the nursing home and use of formal care of elderly who remain in the community. However, Medicaid subsidies have not "crowded out" informal care provided by relatives and friends of the elderly. Nor has Medicaid reduced wealth accumulation by the elderly. Overall, we find little empirical support for the hypothesis that caregiving by children is motivated by the prospect of receiving bequests from their parents.

Suggested Citation

  • Sloan, Frank A. & Thomas J. Hoerger & Gabriel Picone, 1996. "Effects of Strategic Behavior and Public Subsidies on Families' Savings and Long-Term Care Decisions," Working Papers 96-01, Duke University, Department of Economics.
    • Handle: RePEc:duk:dukeec:96-01
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    Citations

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    Cited by:

    1. Wolff, Francois-Charles & Laferrere, Anne, 2006. "Microeconomic models of family transfers," Handbook on the Economics of Giving, Reciprocity and Altruism, in: S. Kolm & Jean Mercier Ythier (ed.), Handbook of the Economics of Giving, Altruism and Reciprocity, edition 1, volume 1, chapter 13, pages 889-969, Elsevier.
    2. Rapp, Thomas & Apouey, Bénédicte H. & Senik, Claudia, 2018. "The impact of institution use on the wellbeing of Alzheimer's disease patients and their caregivers," Social Science & Medicine, Elsevier, vol. 207(C), pages 1-10.
    3. Yasushi Iwamoto & Miki Kohara & Makoto Saito, 2006. "On the Consumption Insurance Effects of Long-term Care Insurance In Japan: Evidence from Micro Household Data," CIRJE F-Series CIRJE-F-443, CIRJE, Faculty of Economics, University of Tokyo.
    4. Iwamoto, Yasushi & Kohara, Miki & Saito, Makoto, 2010. "On the consumption insurance effects of long-term care insurance in Japan: Evidence from micro-level household data," Journal of the Japanese and International Economies, Elsevier, vol. 24(1), pages 99-115, March.
    5. CREMER, Helmuth & PESTIEAU, Pierre & PONTHIERE, Grégory, 2012. "The economics of long-term care: a survey," LIDAM Discussion Papers CORE 2012030, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    6. Roméo Fontaine & Agnès Gramain & Jérôme Wittwer, 2007. "Les configurations d'aide familiales mobilisées autour des personnes âgées dépendantes en Europe," Économie et Statistique, Programme National Persée, vol. 403(1), pages 97-115.
    7. Agnès Gramain, 1997. "Décisions de recours au système de soins dans la prise en charge des personnes âgées dépen­ dantes : un modèle de choix discret dynamique," Économie et Prévision, Programme National Persée, vol. 129(3), pages 239-254.
    8. Ariizumi, Hideki, 2008. "Effect of public long-term care insurance on consumption, medical care demand, and welfare," Journal of Health Economics, Elsevier, vol. 27(6), pages 1423-1435, December.
    9. PESTIEAU, Pierre & PONTHIERE, Gregory, 2016. "The Public Economics of Long Term Care," LIDAM Discussion Papers CORE 2016008, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    10. Pierre Pestieau & Motohiro Sato, 2008. "Long‐Term Care: the State, the Market and the Family," Economica, London School of Economics and Political Science, vol. 75(299), pages 435-454, August.
    11. Mohamed Jellal & François-Charles Wolff, 2003. "Solidarités familiales par la démonstration," Revue économique, Presses de Sciences-Po, vol. 54(4), pages 785-810.
    12. Michelle Amaral, 2010. "Does substituting home care for institutional care lead to a reduction in Medicaid expenditures?," Health Care Management Science, Springer, vol. 13(4), pages 319-333, December.

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