2023 Gateway LTC Conference

Objective

The conference promoted discussion on research evaluating LTC policies and the research community's involvement in the future of LTC policymaking. The scientific committee selected fifteen research papers on LTC policies from the U.S. and worldwide. A panel of policymakers and practitioners connected research on LTC to a broader understanding of how LTC policies can be applied in changing contexts. The discussion focused on policy goals such as improving the effectiveness and efficiency of LTC services and meeting the care needs of people and families. Another panel of LTC experts discussed "Next Steps in LTC Research," covering housing and palliative care, the diverse care recipient population, and family caregiving nuances, emphasizing inequalities by race, gender, and immigrant status.

The conference took place in Washington, DC, USA on November 7-8, 2023.

A subset of the papers presented at the conference will be selected for a Special Issue in Health Economics, which is scheduled to be developed by the end of 2024. All the articles in the special issue will be Open Access to ensure a wide distribution to researchers and policy makers.

Day 1 (Tuesday, November 7)

Presentations this day included:

1. The Missing Care Economy? Valuing of Informal Care in Europe

   Presenter: Joan Costa-Font (London School of Economics and Political Science)

   Discussant: Yunan Ji (Georgetown University)

2. Home-Based Care and Patient Outcomes: Does the Delivery Team Matter?

   Presenter: Norma Coe (University of Pennsylvania)

   Discussant: Edward Norton (University of Michigan)

3. To Stay or to Go: A Comparison of Informal and Formal Care Options for Elderly with Long-Term Care Needs

   Presenters: Catia Nicodemo (University of Oxford) and Helena M. Hernández-Pizarro (Tecnocampus, Universitat Pompeu Fabra)

   Discussant: Julien Bergeot (Ca' Foscari University of Venice) and Judit Vall Castelló (University of Barcelona)

4. Nursing Homes in Equilibrium: Implications for Long-Term Care Policies

   Presenter: Minjoon Lee (Carleton University)

   Discussant: Eric French (Cambridge University)

5. How Do Changes in Public Social Care Expenditure Affect Care Use Among Older Adults? Evidence From Eligibility to Social Care Across Local Authorities in England

   Presenter: Ludovico Carrino (University of Trieste)

   Discussant: David Bell (University of Stirling)

6. Consequences of Unmet Care Need at Older Ages in Mexico

   Presenter: Drystan Phillips (University of Southern California)

   Discussant: HwaJung Choi (University of Michigan)

7. Family Caregiving and Labor Supply: Evidence from ADRD-Related Deaths in Denmark

   Presenter: Yulya Truskinovsky (Wayne State University)

   Discussant: Mette Gørtz (University of Copenhagen)

Panel – From Research to Practice: Informing Long Term Care Policy through Economic Evidence

Moderator: Priscilla Novak, Program Officer, National Institute on Aging

Panelists

• Stuart Portman – Senior Health Policy Advisor on the U.S. Senate Committee on Finance
• Tisamarie Sherry – Deputy Assistant Secretary for Planning and Evaluation of the US Department of Health and Human Services in charge of the Office of Behavioral Health, Disability, and Aging Policy
• Emily Franzosa – Health and Aging Policy Fellow at the U.S. Senate Special Committee on Aging
• Ana Llena-Nozal – Senior Economist and lead for LTC work at OECD
• Jim Capretta – Senior Fellow at AEI studying health care, entitlement programs, and fiscal trends in advanced economies

Panel summary: https://g2aging.org/additional-resources/gateway-blog/b580e99e-97a4-4acf-aac2-a16e093d8726

Day 2 (Wednesday, November 8)

Presentations this day included:

1. Assessing Elderly Long-Term Care Needs at Home or in Nursing Homes: What Difference Does It Make?

   Presenter: Delphine Roy (Institut des Politiques Publiques, France)

   Discussant: Jérôme Schoenmaeckers (University of Liege, Belgium)

2. The Impact of Long-term Care Insurance on the Utilization of Inpatient Care: Micro Evidence from China

   Presenter: Xiao Han (Institute of Population and Labor Economics, Chinese Academy of Social Sciences)

   Discussant: Karen Eggleston (Stanford University)

3. Gender Differences in the Health Impacts of Spousal Caregiving Intensity in the US

   Presenter: Maria Casanova (California State University - Fullerton)

   Discussant: Gopi Shah Goda (Stanford University)

4. Did the COVID-19 Pandemic Change Site of Death for Older Individuals?

   Presenter: Lauren Nicholas (University of Colorado, Denver)

   Discussant: Jürgen Maurer (University of Lausanne)

5. There Is No Place Like Home: The Impact of Public Home-Based Care on the Mental Health and Wellbeing of Older Europeans

   Presenter: Mauricio Avendano (University of Lausanne)

   Discussant: Monika Reidel (Institute for Advanced Studies Vienna)

6. Unpacking the Care-Related Quality of Life effect of England's publicly funded Adult Social Care. A Panel Data Analysis of Long-Term Support Users

   Presenter: Andrea Salas Ortiz (University of York)

   Discussant: Jennifer Mellor (William & Mary)

7. The Effect of Health Shocks on Long-Term Care Living Arrangements

   Presenter: Irene Ferrari (Ca' Foscari University of Venice)

   Discussant: Jeremy McCauley (University of Bristol)

8. Impact of State Home and Community-Based Services on Long-Term Care Among Community-Dwelling Older Adults Dually Eligible for Medicare and Medicaid

   Presenter: Lianlian Lei (University of Michigan)

   Discussant: Melinda Buntin (Johns Hopkins University)

Panel – Reactions and Next Steps in LTC Research

Moderator: David Knapp

Panelists

• Sally Stearns – Editor-in-Chief of Health Economics and Professor of Health Policy and Management at The University of North Carolina at Chapel Hill
• Julie Bynum – Principal Investigator of Center to Accelerate Population Research in Alzheimer's (CAPRA) and Professor of Geriatric and Palliative Medicine, University of Michigan
• Courtney Van Houtven – Professor at The Department of Population Health Science, Duke University School of Medicine and Duke-Margolis Center for Health Policy

Panel summary: https://g2aging.org/additional-resources/gateway-blog/7f08704d-6078-4112-ab14-ffc522be9a2c