NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH
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Joan Costa-Font

Department of Health Policy
London School of Economics
and Political Science (LSE)
UK

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Institutional Affiliation: London School of Economics

NBER Working Papers and Publications

July 2019Uninsured by Choice? A Choice Experiment on Long Term Care Insurance
with Faical Akaichi, Richard Frank: w26118
We examine evidence from two unique discrete choice experiments (DCE) on long term care insurance and several of its relevant attributes, and more specifically, choices made by 15,298 individuals in the United States with and without insurance. We study the valuation of the following insurance attributes, namely daily insurance benefit, insurance coverage, the compulsory and voluntary nature of the insurance policy design, alongside the costs (insurance premium) and health requirements. This paper investigates respondents’ preferences and willingness to pay (WTP) for these care insurance’s attributes using a random parameter logit model, and assess the heterogeneity of choice responses using demographic, socioeconomic and attitudinal motivations to segment response to insurance choices. ...

Published: Faical Akaichi & Joan Costa-Font & Richard Frank, 2019. "Uninsured by Choice? A choice experiment on long term care insurance," Journal of Economic Behavior & Organization, .

September 2017Access to Long-Term Care After a Wealth Shock: Evidence from the Housing Bubble and Burst
with Richard Frank, Katherine Swartz: w23781
Home equity is the primary self-funding mechanism for long term services and supports (LTSS). Using data from the relevant waves of the Health and Retirement Study (1996-2010), we exploit the exogenous variation in the form of wealth shocks resulting from the value of housing assets, to examine the effect of wealth on use of home health, unpaid help and nursing home care by older adults. We find a significant increase in the use of paid home health care and unpaid informal care but no effect on nursing home care access. We conduct a placebo test on individuals who do not own property; their use of LTSS was not affected by the housing wealth changes. The findings suggest that a wealth shock exerts a positive and significant effect on the uptake of home health and some effect on unpaid car...

Published: Costa-Font, Joan & Frank, Richard G. & Swartz, Katherine, 2019. "Access to long term care after a wealth shock: Evidence from the housing bubble and burst," The Journal of the Economics of Ageing, Elsevier, vol. 13(C), pages 103-110. citation courtesy of

 
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