Monthly on the 3rd Thursday
8am US Pacific Time, 11am US Eastern Time, 5pm Central European Time

The Gateway to Global Aging, in partnership with the Center to Accelerate Population Research in Alzheimer’s (capra.med.umich.edu), is organizing a monthly virtual seminar series on long-term care, services, and policy. The seminar series is led by Julien Bergeot from Université Paris Dauphine - PSL and Giacomo Pasini from Ca' Foscari University of Venice. The goal of the seminar series is to promote international interactions among scholars in this growing field of research. Presentations will typically be on in-progress work and discussions are strongly encouraged.

Participants must register to receive upcoming seminar announcements and virtual meeting room links. To register please submit a form with your email here. Emails will be kept limited to seminar announcements and you can unsubscribe from this list at any time.

Upcoming Presentations:

*The Gateway Long-Term Care Seminar Series is currently on summer break and will resume in September

• September 18, 2025
  Ritesh Maharaj (joint work with Sara Machado and Irene Papanicolas), Brown University
  "The Impact of Long-Term Care Funding on Access to Life Sustaining Critical Care in the English NHS."
  This study examines how long-term care (LTC) funding impacts decisions to limit life-sustaining treatment and associated patient outcomes in intensive care units in England, leveraging the natural experiment of the 2010 fiscal austerity measures. Using a comprehensive dataset from all adult intensive care admissions from 2009 to 2019, we employ a share-shift instrumental variable strategy to isolate the causal effects of variations in LTC spending. We find robust evidence that reductions in LTC spending significantly increase the likelihood of decisions to limit life-sustaining therapies, suggesting that resource availability downstream influences clinical decisions upstream. Specifically, a £1,000 per capita decrease in LTC expenditure results in a 7.3 percent increase in decisions to withhold or withdraw life-sustaining treatment. This effect varies substantially by patient age, with the greatest impact observed among older populations who typically exhibit higher LTC needs. Regional analyses reveal significant heterogeneity, with notable effects in regions experiencing the most severe LTC budget cuts, particularly London and the South East. Despite these marked changes in treatment decisions, we observe a smaller, non-significant increase in 30-day mortality. Our findings indicate that fiscal austerity measures not only directly affect LTC provision but indirectly alter critical care practices and clinical decision-making. These results underscore the interdependence between LTC and acute care sectors, highlighting the equity considerations that arise from resource constraints in LTC. Policy interventions aimed at integrating healthcare funding streams may mitigate adverse impacts and ensure equitable critical care provision.
• October 16, 2025
  TBD
• November 20, 2025
  Stipica Mudrazija, University of Washington
• December 11, 2025 (Special date: 2nd Thursday, instead of the usual 3rd)
  Wei Yang, King's College London

Thank you to those who have already presented:

• January 19, 2023
  Julien Bergeot of the Department of Economics, Ca’ Foscari University of Venice (joint work with Louis Arnault)
  "Informal Care & Mental Health: A Story of Unobserved Heterogeneity"
• February 16, 2023
  Marlies Bär of the Erasmus School of Health Policy & Management, Erasmus University Rotterdam (joint work with Pieter Bakx, Nigel Rice, Rita Santos, Luigi Siciliani, and Bram Wouterse)
  "Spillovers of Delayed Nursing Home Admissions to the Hospital Sector"
• March 16, 2023
  Edward Norton, University of Michigan
  "Did Avoiding Post-Acute SNF Care During COVID Save Lives?"
• April 20, 2023
  Ingo Kolodziej of RWI Essen (joint work with Norma B. Coe of the University of Pennsylvania and Courtney H. Van Houtven of Duke University)
  "Intensive Informal Care and Impairments in Work Productivity and Activity"
• May 18, 2023
  Joan Costa-i-Font, London School of Economics
  "Are Long term care subsidies and supports productive? Effects on health and wellbeing"
• September 21, 2023
  Elsa Perdrix, Paris Dauphine University
  "Horizontal Inequity in Long-term Care Use in France"
• October 19, 2023
  Bertrand Achou, University of Groningen
  "At Home versus in a Nursing Home: Long-term Care Settings and Marginal Utility"
• November 16, 2023
  R. Tamara Konetzka, University of Chicago
  "The Role of Medicaid Home- and Community-Based Services in Use of Medicare Post-Acute Care"
• Dec 14, 2023
  Anne Penneau, Institute for Research and Information in Health Economics
  "The Impact of Nursing Homes on Quality of Drug Prescription in France"
• February 15, 2024
  Helena M. Hernandez-Pizarro, Pompeu Fabra University
  "Unravelling Hidden Inequities in a Universal Public Long-Term Care System"
• March 21, 2024
  Sung Ah Bahk, American University (joint work with Selin Secil Akin, Lidia Brun, Ignacio Gonzalez, and Aina Puig)
  "Universal Long-term Care Reform and the Labor Supply of Caregivers: Evidence from Korea"
• April 18, 2024
  Meghan Skira, University of Georgia
  "Genetic Risk for Alzheimer’s Disease and Related Dementias: Cognition, Economic Behavior, and Clinically Actionable Information"
• May 16, 2024
  Wenhan Zhang, Duke University
  "Trends in Quality of Life Indicators for Older Adults with Cognitive Impairment Across Living and Care Arrangements from 2008 to 2020: A Population-Based Descriptive Study"
  
• September 19, 2024
  Bram Wouterse, Erasmus School of Health Policy & Management (joint work with Prithviraj Basu Mallik and Pieter Bakx)
  "Preventing Nursing Home Use: Is State-Sponsored Spending for Social Care a Winning Formula?"
• October 10, 2024
  Chuxuan Sun, University of Pennsylvania
  "The costs of AD/ADRD by dementia subtype: Evidence from ACT"
• November 21, 2024
  Manuel V. Montesinos, ROCKWOOL Foundation Berlin
  "Elderly Care across Europe: The Role of Formal and Informal Care in Family Decision-Making"
• December 12, 2024
  Elena Bassoli, ETH Zürich (joint work with Mathieu Lefebvre and Jérôme Schoenmaekers)
  "Comparing Health Outcomes in Different Care Settings: Nursing Homes vs. Home Care"
• January 16, 2025
  Gopi Shah Goda, Brookings Institution
  "Subsidizing Medical Spending through the Tax Code: Take-Up, Targeting and the Cost of Claiming"
• February 20, 2025
  David Li, University of Southern California (joint work with Marco Angrisani and Jinkook Lee)
  "The Mental Health Implications of Informal Care Receipt Stability"
• March 20, 2025
  Eric Bonsang, Université Paris-Dauphine
  "The “Demise of the Caregiving Daughter”? Gender Employment Gaps and the use of formal and informal care in Europe"
• April 17, 2025
  Megan Shepherd-Banigan, Duke University
  "VA CARES: A partnered evaluation of the US Department of Veterans Affairs Caregiver Support Program"
• May 15, 2025
  Jun Li , Syracuse University (joint work with Reagan A. Baughman)
  "Wage Pass-Through Policies, Direct Care Worker Compensation, and Labor Supply in the Home Health Care Sector"