This paper investigates challenges of aging for long-term care. Our analysis proceeds in three steps. In the first step, we estimate the prospective care demand for 30 developed countries based on projected aging and disabilities among the elderly. In the second step, we outline challenges for...

This research provides a comparative study of the Japanese and German nursing home sectors. Faced with aging populations, both countries share similar long-term care policies based on social insurance. However, descriptive statistics indicate significant differences in the outcomes and costs in...

Advantageous (or propitious) selection occurs when an increase in the premium of an insurance contract induces high-cost agents to quit, thereby reducing the average cost among remaining buyers. Hemenway (1990) and many subsequent contributions motivate its advent by differences in risk-aversion...

Purpose: Since the enactment of the long-term care insurance (LTCI) act in 2000, the number of LTCI users has increased annually. However, evidence regarding what is being carried out as rehabilitation treatment under LTCI is lacking. In this study, a scoping review was performed to bridge this...

Long-term care (LTC) is one of the largest expenditure risks the elderly in many countries, including the U.S., face. Despite a large private expenditure share, demand for private LTC insurance is low ( 20%). This pre-registered study investigates to what extent attitudes toward uncertainty...

Advantageous (or propitious) selection occurs when an increase in the premium of an insurance contract induces high-cost agents to quit, thereby reducing the average cost among remaining buyers. Hemenway (1990) and many subsequent contributions motivate its advent by differences in risk-aversion...

Although a public long-term care (LTC) program is a potentially important factor for the labor supply of female informal caregivers, there are only a handful of individual-level studies on this topic and the macro-level impacts of LTC programs are still largely unknown. Exploiting the...

Can the expansion of Medicaid, a means-tested health and long-term care insurance, be slowed down by incentivising the purchase of private long-term care insurance (LTCI)? We study the implementation of the long-term care insurance partnership (LTCIP) program, a joint federal and state-level...

Can the expansion of Medicaid, a means-tested health and long-term care insurance, be slowed down by incentivising the purchase of private long-term care insurance (LTCI)? We study the implementation of the long-term care insurance partnership (LTCIP) program, a joint federal and state-level...

We consider a non-homogeneous continuous time Markov chain model for Long-Term Care with five states: the autonomous state, three dependent states of light, moderate and severe dependence levels and the death state. For a general approach, we allow for non null intensities for all the returns...

This paper examines the possibility of including cash-for-care benefits in life care annuities (LCAs) to help retired couples cope with the cost of long-term care (LTC). It aims to assess how much it would cost to add an extra stream of payments to annuities for couples should either or both...

We study preferences for different types of home care insurance using a discrete choice experiment. We consider domestic, personal, and social care, a home care annuity, and home adaptations lump-sum. To understand variation in preferences, we relate willingness to pay to personal circumstances,...

How do adult children trade-off working and providing long-term care (LTC) to parents? How do international caregivers help with this trade-off? What are the effects of allowing international caregivers compared with other commonly implemented LTC policies? Using data from Taiwan, we first...

We study the impact of housing wealth and individual preferences on demand for annuities and long-term care insurance (LTCI). We build a multi-state lifecycle model that includes longevity risk and health shocks. The preference is represented by a recursive utility function that separates risk...

Am 11.11.2020 veröffentliche Jens Spahn das Eckpunktepapier zur Reform der sozialen Pflegeversicherung. Die Autoren beleuchten die ordnungs- und verteilungspolitischen Implikationen vier zentraler Aspekte des Reformvorschlags: das Einfrieren des maximalen Eigenanteils bei der stationären...

Die vorliegende Studie diskutiert die Prognoseergebnisse für die Kostenentwicklung im Bereich der obligatorischen Kranken- und Pflegeversicherung (OKP). Innerhalb der deskriptiven Diskussion der Datenlage werden für die Kostengruppen wie auch die Kantone die letztjährigen Wachstumsraten mit...

The poor have a significantly shorter life expectancy than the wealthy. Using data from the Socio-Economic Panel, this Weekly Report shows that poorer people become in need of care earlier in life and more often. In addition, blue-collar workers have a higher risk of requiring care than civil...