At home versus in a nursing home: long-term care choices and marginal utility

Health Economics seminar
Person holding a stress ball
Speaker
Betrand Achou
Date
Thursday 12 Jan 2023, 12:00 - 13:00
Type
Seminar
Room
T3-29
Building
Mandeville Building
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Person holding a stress ball

Marginal utility when needing long-term care, and the related incentives for precautionary savings and insurance, may vary significantly whether one receives care at home or in a nursing home. In this paper, we construct strategic survey questions to estimate those differences.

All else equal, we find that the marginal utility of financial resources is significantly higher when receiving care at home rather than in a nursing home.

We then use these estimates within a quantitative life cycle model to evaluate the impact of the expected choice of care setting (home versus nursing home) on precautionary savings and insurance valuation.

The marginal utility differences that we estimate imply a significant increase in the incentives to save and insure when expecting to receive care at home. However, a preference shift towards home care relative to nursing home care (for instance, because of an increased aversion to nursing homes) does not necessarily raise savings and insurance valuation as its impact not only depends on preferences but also on the design of public long-term care subsidies and how they differ by care setting.

Online attendance

Interested individuals should contact healtheconomics@ese.eur.nl if they would like to attend the seminar virtually.

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If you wish to join the seminar via zoom please contact us at healtheconomics@ese.eur.nl.

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