nep-age New Economics Papers
on Economics of Ageing
Issue of 2022‒05‒02
five papers chosen by
Claudia Villosio
LABORatorio R. Revelli

  1. The Benefits of Medicaid Home and Community-Based Services on Health By Liu, Yinan; Zai, Xianhua
  2. Nursing Homes and Mortality in Europe: Uncertain Causality By Xavier Flawinne; Mathieu Lefebvre; Sergio Perelman; Pierre Pestieau; Jerome Schoenmaeckers
  3. Population aging and bank risk-taking By Doerr, Sebastian; Kabas, Gazi; Ongena, Steven
  4. Farm Succession and Retirement across Continents and Cultures: A Focus on Ireland and Iowa By Shane Francis Conway; Maura Farrell; John McDonagh; Anne Kinsella; John R. Baker
  5. Mapping evolving population geography in China By Lei Dong; Rui Du; Yu Liu

  1. By: Liu, Yinan; Zai, Xianhua
    Abstract: The Medicaid Home and Community- Based Services (HCBS) program in the United States subsidizes the long-term care provided at home or in community-based settings for older adults. Little is known about how HCBS affects the well-being of the aging population. Using detailed information about health from the Health and Retirement Study (HRS) linked with state-level HCBS policy expenditures, we show that HCBS is beneficial to improve general health outcomes of older individuals. Our results find that HCBS generosity is positively associated with the probability of older individuals self-reporting better health status, mitigating functional mobility limitations, showing better emotional feelings, and increasing cognitive skills. In addition, these health benefits of HCBS differ across groups by resources and demographic characteristics.
    Keywords: Medicaid HCBS,Long-Term Care,Health
    JEL: I12 I18 I30
    Date: 2022
  2. By: Xavier Flawinne; Mathieu Lefebvre; Sergio Perelman; Pierre Pestieau; Jerome Schoenmaeckers
    Abstract: The current health crisis has particularly affected the elderly population. Nursing homes have unfortunately experienced a relatively large number of deaths. On the basis of this observation and working with European data (from SHARE), we want to check whether nursing homes were lending themselves to excess mortality even before the pandemic. Controlling for a number of important characteristics of the elderly population in and outside nursing homes, we conjecture that the difference in mortality between those two samples is to be attributed to the way nursing homes are designed and organised. Using matching methods, we observe excess mortality in Belgium, France, Germany Luxembourg, Switzerland, Estonia and Czech Republic but no statistically significant excess mortality in Sweden, the Netherlands, Denmark, Austria, Italy or Spain. This raises the question of the organisation and management of these nursing homes, but also of their design and financing.
    Keywords: nursing homes, mortality, propensity score matching, SHARE
    JEL: C21 I10 J14
    Date: 2022
  3. By: Doerr, Sebastian; Kabas, Gazi; Ongena, Steven
    Abstract: Does population aging affect bank lending? To answer this question we exploit geographic variation in population aging across U.S. counties to provide the first evidence on its impact on bank risk-taking. We find that banks more exposed to aging counties experience deposit inflows due to seniors' higher savings rate. They consequently extend more credit, but relax lending standards: Loan-to-income ratios increase and application rejection rates decline. Exposed banks also see a sharper rise in nonperforming loans during downturns, suggesting that population aging may lead to financial instability. These results are in line with an increase in savings and a decline in investment opportunities induced by population aging.
    Keywords: Risk-taking, financial stability, low interest rates, population aging, demographics
    JEL: E51 G21
    Date: 2022
  4. By: Shane Francis Conway; Maura Farrell; John McDonagh; Anne Kinsella; John R. Baker
    Abstract: Conway et al. draw on a baseline analysis of International FARMTRANSFERS Survey data obtained from the Republic of Ireland and the state of Iowa to identify and compare rates and patterns of succession and older farmers' similarities and/or differences in attitudes and intentions towards retirement. Overcoming the farming community's stalwart persistent adherence to traditional succession and retirement practices, which effectively obstructs farmland transfer to the next generation, is a pressing matter for contemporary generational renewal in agriculture policy.
    Date: 2022–03
  5. By: Lei Dong; Rui Du; Yu Liu
    Abstract: China's demographic changes have important global economic and geopolitical implications. Yet, our understanding of such transitions at the micro-spatial scale remains limited due to spatial inconsistency of the census data caused by administrative boundary adjustments. To fill this gap, we manually collected and built a population census panel from 2010 to 2020 at both the county and prefectural-city levels. We show that the massive internal migration drives China's increasing population concentration and regional disparity, resulting in severe population aging in shrinking cities and increasing gender imbalance in growing cities.
    Date: 2022–03

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