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Possible Reforms for Financing Long-Term Care

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  • William J. Scanlon

Abstract

This paper considers the market for long-term care services to treat and compensate for chronic health conditions and disabilities. This paper describes how the long-term care market has evolved and the resulting implications for expenditure control. It reviews recent developments in marketing private insurance for long-term care and questions the potential and desirability of such insurance. Finally, it discusses the argument for greater public financing within a universal social insurance program and alternative approaches to structuring such a program.

Suggested Citation

  • William J. Scanlon, 1992. "Possible Reforms for Financing Long-Term Care," Journal of Economic Perspectives, American Economic Association, vol. 6(3), pages 43-58, Summer.
    • Handle: RePEc:aea:jecper:v:6:y:1992:i:3:p:43-58
    Note: DOI: 10.1257/jep.6.3.43
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    File URL: http://www.aeaweb.org/articles.php?doi=10.1257/jep.6.3.43
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    References listed on IDEAS

    as
    1. Nyman, John A., 1985. "Prospective and `cost-plus' medicaid reimbursement, excess medicaid demand, and the quality of nursing home care," Journal of Health Economics, Elsevier, vol. 4(3), pages 237-259, September.
    2. Pauly, Mark V, 1990. "The Rational Nonpurchase of Long-term-Care Insurance," Journal of Political Economy, University of Chicago Press, vol. 98(1), pages 153-168, February.
    3. John A. Nyman, 1988. "Excess Demand, the Percentage of Medicaid Patients, and the Quality of Nursing Home Care," Journal of Human Resources, University of Wisconsin Press, vol. 23(1), pages 76-92.
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    Citations

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    Cited by:

    1. K. Bolin & B. Lindgren & P. Lundborg, 2008. "Informal and formal care among single‐living elderly in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 393-409, March.
    2. Long Xia & Lulu Chai & Hanyu Zhang & Zhaohui Sun, 2022. "Mapping the Global Landscape of Long-Term Care Insurance Research: A Scientometric Analysis," IJERPH, MDPI, vol. 19(12), pages 1-19, June.
    3. Yu, Wei & Bradford, Garnett L., 1995. "Rural-Urban Differences In Nursing Home Access, Quality And Cost," Journal of Agricultural and Applied Economics, Southern Agricultural Economics Association, vol. 27(2), pages 1-14, December.
    4. Carlos Vidal-Meliá & Manuel Ventura-Marco & Juan Manuel Pérez-Salamero González, 2018. "Social Insurance Accounting for a Notional Defined Contribution Scheme Combining Retirement and Long-Term Care Benefits," Sustainability, MDPI, vol. 10(8), pages 1-36, August.
    5. Carlos Vidal-Meliá & Manuel Ventura-Marco & Juan Manuel Pérez-Salamero González, 2018. "Actuarial accounting for a notional defined contribution scheme combining retirement and longterm care benefits," Documentos de Trabajo del ICAE 2018-16, Universidad Complutense de Madrid, Facultad de Ciencias Económicas y Empresariales, Instituto Complutense de Análisis Económico.
    6. Jeffrey R. Brown & Amy Finkelstein, 2009. "The Private Market for Long‐Term Care Insurance in the United States: A Review of the Evidence," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 76(1), pages 5-29, March.
    7. Pascale Genier, 1996. "La gestion du risque dépendance : le rôle de la famille, de l'État et du secteur privé," Économie et Statistique, Programme National Persée, vol. 291(1), pages 103-117.
    8. Manuel Ventura-Marco & Carlos Vidal-Meliá & Juan Manuel Pérez-Salamero González, 2022. "Life care annuities to help couples cope with the cost of long-term care," Documentos de Trabajo del ICAE 2022-03, Universidad Complutense de Madrid, Facultad de Ciencias Económicas y Empresariales, Instituto Complutense de Análisis Económico.
    9. Ventura-Marco, Manuel & Vidal-Meliá, Carlos & Pérez-Salamero González, Juan Manuel, 2023. "Joint life care annuities to help retired couples to finance the cost of long-term care," Insurance: Mathematics and Economics, Elsevier, vol. 113(C), pages 122-139.
    10. Guangbo Ma & Kun Xu, 2022. "Value-Based Health Care: Long-Term Care Insurance for Out-of-Pocket Medical Expenses and Self-Rated Health," IJERPH, MDPI, vol. 20(1), pages 1-20, December.

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    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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