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040 | | | $aMAP$bspa$dMAP |
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100 | 1 | | $0MAPA20220001618$aWouterse, Bram |
245 | 1 | 0 | $aThe risk protection and redistribution effects of long-term care co-payments$cBram Wouterse, Arjen Hussem, Albert Wong |
520 | | | $aCo-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.
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540 | | | $aLa copia digital se distribuye bajo licencia "Attribution 4.0 International (CC BY NC ND 4.0)"$f$uhttps://creativecommons.org/licenses/by-nc-nd/4.0$966 |
650 | | 4 | $0MAPA20080591182$aGerencia de riesgos |
650 | | 4 | $0MAPA20100044407$aPersonas mayores |
650 | | 4 | $0MAPA20110030216$aCopago |
651 | | 1 | $0MAPA20080637903$aHolanda |
773 | 0 | | $wMAP20077000727$g07/02/2022 Volumen 89 Número 1 - febrero 2022 , 161-186$x0022-4367$tThe Journal of risk and insurance$dNueva York : The American Risk and Insurance Association, 1964- |
856 | | | $qapplication/pdf$w1114018$yRecurso electrónico / Electronic resource |