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Family spillovers and long-term care insurance.

Publication ,  Journal Article
Coe, NB; Goda, GS; Van Houtven, CH
Published in: J Health Econ
July 2023

We examine how long-term care insurance (LTCI) affects informal care use and expectations among the insured individuals and co-residence and labor market outcomes of their adult children. We address the endogeneity of LTCI coverage by instrumenting for LTCI with changes in state tax treatment of LTCI insurance policies. We do not find evidence of reductions in informal care use over a horizon of approximately eight years. However, we find that LTCI coverage reduces parents' perceptions of the willingness of their children to care for them in the future and that the behavior of adult children changes, with LTCI resulting in lower likelihoods of adult children co-residing and stronger labor market attachment. These findings provide empirical support for the presence of spillovers of LTCI on the economic behaviors of family members.

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Published In

J Health Econ

DOI

EISSN

1879-1646

Publication Date

July 2023

Volume

90

Start / End Page

102781

Location

Netherlands

Related Subject Headings

  • Parents
  • Long-Term Care
  • Insurance, Long-Term Care
  • Humans
  • Health Policy & Services
  • Adult Children
  • Adult
  • 4407 Policy and administration
  • 3801 Applied economics
  • 1403 Econometrics
 

Citation

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Coe, N. B., Goda, G. S., & Van Houtven, C. H. (2023). Family spillovers and long-term care insurance. J Health Econ, 90, 102781. https://doi.org/10.1016/j.jhealeco.2023.102781
Coe, Norma B., Gopi Shah Goda, and Courtney Harold Van Houtven. “Family spillovers and long-term care insurance.J Health Econ 90 (July 2023): 102781. https://doi.org/10.1016/j.jhealeco.2023.102781.
Coe NB, Goda GS, Van Houtven CH. Family spillovers and long-term care insurance. J Health Econ. 2023 Jul;90:102781.
Coe, Norma B., et al. “Family spillovers and long-term care insurance.J Health Econ, vol. 90, July 2023, p. 102781. Pubmed, doi:10.1016/j.jhealeco.2023.102781.
Coe NB, Goda GS, Van Houtven CH. Family spillovers and long-term care insurance. J Health Econ. 2023 Jul;90:102781.
Journal cover image

Published In

J Health Econ

DOI

EISSN

1879-1646

Publication Date

July 2023

Volume

90

Start / End Page

102781

Location

Netherlands

Related Subject Headings

  • Parents
  • Long-Term Care
  • Insurance, Long-Term Care
  • Humans
  • Health Policy & Services
  • Adult Children
  • Adult
  • 4407 Policy and administration
  • 3801 Applied economics
  • 1403 Econometrics