Centro de Documentacion de Fundación MAPFRE - The risk protection and redistribution effects of long-term care co-payments

Notas: Sumario: Co-payments for long-term care (LTC) can impose a substantial financial burden on the elderly. How this burden is distributed across income groups depends on the design of the co-payment. We estimate the lifecycle dynamics of LTC using Dutch administrative data. These estimates are inputs in a stochastic lifecycle decision model. Using the model, we analyze the welfare effects of the Dutch income- and wealth-dependent co-payment system and compare it to alternative systems. We find that the Dutch co-payment system redistributes income to low-income groups, who use the most care over their life but contribute the least co-payments, from high-income groups, who pay the most. Moreover, the Dutch system protects the middle-income groups relatively well against financial risk: although alternative co-payment systems hardly affect these groups average payments, they induce welfare losses of 2% to 4% due to an increased risk of very high co-payments.

Registros relacionados: En: The Journal of risk and insurance. - Nueva York : The American Risk and Insurance Association, 1964- = ISSN 0022-4367. - 07/02/2022 Volumen 89 Número 1 - febrero 2022 , 161-186Materia / lugar / evento: Gerencia de riesgos Personas mayores Copago Holanda Otras clasificaciones: 7

Derechos: La copia digital se distribuye bajo licencia "Attribution 4.0 International (CC BY NC ND 4.0)"

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