scholarly journals Demand-side strategies to deal with moral hazard in public insurance for long-term care

2015 ◽  
Vol 20 (3) ◽  
pp. 170-176 ◽  
Author(s):  
Pieter Bakx ◽  
Dov Chernichovsky ◽  
Francesco Paolucci ◽  
Erik Schokkaert ◽  
Maria Trottmann ◽  
...  
Keyword(s):  
Moral Hazard ◽  
Long Term Care ◽  
Demand Side ◽  
Public Insurance ◽  
Term Care

The Economics of Long-Term Care

2013 ◽  
Vol 14 (2) ◽  
pp. 343-375 ◽  
Author(s):  
Luigi Siciliani
Keyword(s):  
Long Term Care ◽  
Private Insurance ◽  
Care Home ◽  
Significant Proportion ◽  
Empirical Work ◽  
The United States ◽  
Ageing Population ◽  
Public Insurance ◽  
Term Care

Abstract Long-term care expenditure is expected to rise, driven by an ageing population. Given that public long-term care expenditure is high in many OECD countries, governments are increasingly concerned about its future growth. This study focuses on three relevant issues. First, we discuss factors that affect the growth of long-term expenditure and its projections. These include demographics, the balance in provision between informal and formal care, whether higher life expectancy translates into higher disability, the interrelation between health and long-term care, and whether long-term care suffers from Baumol’s disease. Second, given that a significant proportion of long-term care expenditure is nursing- and care-home expenditure, we discuss the role of government regulation aimed at ensuring that individuals receive appropriate quality of care in such institutions. We focus in particular on price regulation, competition, and the non-profit sector; these have been the subject of considerable empirical work (mainly in the United States). Third, we discuss the relative merits of public and private insurance. Countries differ greatly in their approach. Some countries have nearly exclusively public insurance but in others this is small. We consider the conditions under which public insurance can overcome the limitations of a private insurance market.

Matrix of Stages and Process Tools Within the Organizational and Management Mechanism for Providing Services in the System of Long-Term Care for Older Citizens Based on Public-Private Partnership

2020 ◽  
Vol 19 (3) ◽  
pp. 22-32
Author(s):  
K.A. Samofatova ◽  
Keyword(s):  
Social Services ◽  
Long Term Care ◽  
Public Insurance ◽  
Management Mechanism ◽  
Term Care ◽  
Public And Private ◽  
Medical Infrastructure ◽  
Older Citizens ◽  
Managerial Mechanism

the article describes a matrix of stages and process tools developed on the basis of algorithms of legal, organizational, technical and financial processes, consisting of a set of stages, processes and tools necessary for the implementation of an infrastructure PPP project in the field of social services, the strict implementation of which will lead to the effective functioning of the organizational and managerial mechanism for providing services in the framework of long-term care for elderly citizens on the basis of publicprivate partnership (PPP), reflecting the interaction between public and private parties within the framework of a concession agreement for the object of social or medical infrastructure with the participation of public, insurance and credit institutions.

Moral hazard and long-term care insurance

2019 ◽  
Vol 44 (2) ◽  
pp. 231-251 ◽  
Author(s):  
R. Tamara Konetzka ◽  
Daifeng He ◽  
Jing Dong ◽  
John A. Nyman
Keyword(s):  
Moral Hazard ◽  
Long Term Care ◽  
Term Care ◽  
Long Term Care Insurance

Demand-Side Factors Associated with the Purchase of Long-Term Care Insurance

2016 ◽  
Vol 19 (1) ◽  
pp. 23-43 ◽  
Author(s):  
Mark A. Unruh ◽  
David G. Stevenson ◽  
Richard G. Frank ◽  
Marc A. Cohen ◽  
David C. Grabowski
Keyword(s):  
Risk Perception ◽  
Long Term Care ◽  
Consumer Information ◽  
Demand Side ◽  
Term Care ◽  
Factors Associated ◽  
Medicaid Reform ◽  
New Public ◽  
Long Term Care Insurance

Abstract Demand-side barriers are known to be important toward explaining the limited purchase of private long-term care insurance (LTCI). In this study, we examine several factors associated with the demand for LTCI including the availability of less costly substitutes (e.g., Medicaid, family), consumer information, and risk perception. Using buyer surveys from 2000, 2005, and 2010, our results suggest that, among individuals not eliminated through medical underwriting, consumer risk perception and the presence of lower cost, imperfect substitutes are strongly associated with the limited purchase of LTCI. These factors were also predictive of the generosity of coverage purchased. If policymakers seek to stimulate demand for LTCI, new public policies might include Medicaid reform, integrating LTCI with Medicare Advantage plans, enhanced LTCI offerings through employers, and targeted informational campaigns.

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