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MAP20230012659Ramsay, Colin M.Doubly enhanced medicaid partnership annuities : a new tool for providing long term / Colin M. Ramsay, Victor I. OguledoSumario: In this article, we propose a hybrid annuity product called a doubly enhanced Medicaid partnership annuity (DEMPAN) that combines an annuity with a long-term care rider that is integrated within the framework of a qualified partnership policy. (Outside the United States, bundled retirement products similar to DEMPANs are often called life-care annuities.) To analyze our DEMPANs, we use a multistate model of long-term care with health states that are based on a retiree's ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs) and cognitive ability. A significant contribution of this article is to explicitly model how the quality of long-term care a retiree receives affects the retiree's health state transition probabilities used in the multistate modeEn: North American actuarial journal. - Schaumburg : Society of Actuaries, 1997- = ISSN 1092-0277. - 06/03/2023 Tomo 27 Número 1 - 2023 , p. 96-1201. Cálculo actuarial. 2. Renta vitalicia. 3. Análisis actuarial. 4. Salud. 5. Jubilación. I. Oguledo, Victor I. . II. Title.