ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2023
Insurance coverage, long-term care utilization, and health outcomes.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- A Multi-Agent Framework for Real-Time Sentiment Monitoring and Predictive Analysis of Public Health Policies.China CDC weekly · 2026Article
- Does long-term care insurance promote assistive device utilization? Evidence from pilot regions in China.Health economics review · 2026Article
- Reforming China's retail prescription medicine purchasing system: evidence from retail pharmacies in Wuhan.BMC health services research · 2026Article
- Does Long-Term Care Insurance Improve Health and Shift Healthcare Utilization? Evidence from China's Pilot Program.Risk management and healthcare policy · 2026Article
- Older adults' adoption of shared service platforms outside long-term care insurance in Japan based on technology acceptance model.Frontiers in public health · 2026Article
- Identifying central behavioral and psychological symptoms associated with care time in older adults with dementia: a network analysis.Frontiers in public health · 2026Article
- Associations between home- and community-based services (HCBSs) and depressive symptoms in older adults: a nationally representative cross-sectional survey in China.BMC health services research · 2025Article
- Evaluating long-term care insurance policies in China: an integrated analysis of policy instruments and PMC index model.Frontiers in public health · 2025Article
- How to evaluate long-term care insurance policy based on policy tools and PMC index model: evidence from pilot cities in China.Frontiers in public health · 2025Article
- Unlocking intergenerational support: The impact of long-term care insurance on elderly family dynamics.PloS one · 2025Article
- Unexpected costs: the impact of Long-Term Care Insurance on housing prices.Frontiers in public health · 2025Article
- The impact of long-term care insurance on healthcare utilization and expenditures among middle-aged and older Chinese adults: a quasi-experiment study.International journal for equity in health · 2024Article
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Authors and funding
1 author.
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Abstract
How does the generosity of social insurance coverage affect the demand for healthcare and health outcomes of elderly people? This paper presents an examination of the effects of insurance coverage on long-term care (LTC) utilization and its health consequences using administrative data of the public long-term care insurance (LTCI) system in Japan. In LTCI, a recipient's health score determines their insurance coverage limit, and thresholds of the score generate discontinuous changes in the level of coverage limits. I implement a regression discontinuity design and find that coverage expansion increases recipients' LTC utilization considerably irrespective of their health status. When more generous insurance coverage is available, recipients with low care needs increase day care and rehabilitation services, whereas those with high care needs increase home care services. Moreover, using more LTC has little effect on health outcomes such as the health score and the entry into nursing homes. Together, these results suggest that generous LTCI coverage can induce excessive LTC utilization without having health benefits.
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