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The risk protection and redistribution effects of long-term care co-payments

The risk protection and redistribution effects of long-term care co-payments
Recurso electrónico / Electronic resource
Registro MARC
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1001 ‎$0‎MAPA20220001618‎$a‎Wouterse, Bram
24510‎$a‎The risk protection and redistribution effects of long-term care co-payments‎$c‎Bram Wouterse, Arjen Hussem, Albert Wong
520  ‎$a‎Co-payments for long-term care (LTC) can impose a substantial financial burden on the elderly. How this burden is distributed across income groups depends on the design of the co-payment. We estimate the lifecycle dynamics of LTC using Dutch administrative data. These estimates are inputs in a stochastic lifecycle decision model. Using the model, we analyze the welfare effects of the Dutch income- and wealth-dependent co-payment system and compare it to alternative systems. We find that the Dutch co-payment system redistributes income to low-income groups, who use the most care over their life but contribute the least co-payments, from high-income groups, who pay the most. Moreover, the Dutch system protects the middle-income groups relatively well against financial risk: although alternative co-payment systems hardly affect these groups average payments, they induce welfare losses of 2% to 4% due to an increased risk of very high co-payments.
540  ‎$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
7730 ‎$w‎MAP20077000727‎$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