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A probabilistic projection of beneficiaries of long-term care insurance in Germany by severity of disability

Author

Listed:
  • Patrizio Vanella

    (Gottfried Wilhelm Leibniz Universität Hannover
    Helmholtz Centre for Infection Research)

  • Moritz Heß

    (Universität Bremen)

  • Christina B. Wilke

    (FOM Hochschulzentrum Bremen)

Abstract

Demographic aging puts social insurance systems under immense pressure as frailty risks increase with age. The statutory long-term care insurance in Germany (GPV), whose society has been aging for decades due to low fertility and decreasing mortality, faces massive future pressure. The present study presents a stochastic outlook on long-term care insurance in Germany until 2045 by forecasting the future number of frail persons who could claim insurance services by severity level with theory-based Monte Carlo simulations. The simulations result in credible intervals for age-, sex- and severity-specific care rates as well as the numbers of persons for all combinations of age, sex and severity by definition of the GPV on an annual basis. The model accounts for demographic trends through time series analysis and considers all realistic epidemiological developments by simulation. The study shows that increases in the general prevalence of disabilities, especially for severe disabilities, caused by the demographic development in Germany are unavoidable, whereas the influence of changes in age-specific care risks does not affect the outcome significantly. The results may serve as a basis for estimating the future demand for care nurses and the financial expenses of the GPV.

Suggested Citation

  • Patrizio Vanella & Moritz Heß & Christina B. Wilke, 2020. "A probabilistic projection of beneficiaries of long-term care insurance in Germany by severity of disability," Quality & Quantity: International Journal of Methodology, Springer, vol. 54(3), pages 943-974, June.
    • Handle: RePEc:spr:qualqt:v:54:y:2020:i:3:d:10.1007_s11135-020-00968-w
    DOI: 10.1007/s11135-020-00968-w
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    References listed on IDEAS

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    1. Lin, S.-F. & Beck, A.N. & Finch, B.K. & Hummer, R.A. & Master, R.K., 2012. "Trends in US older adult disability: Exploring age, period, and cohort effects," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2157-2163.
    2. Thang Tien Nguyen & Ngoc Bich Le & Lan Hoang Vu & Anh Vu Le, 2019. "Quality of life and its association among older people in rural Vietnam," Quality & Quantity: International Journal of Methodology, Springer, vol. 53(1), pages 131-141, January.
    3. Fuino, Michel & Wagner, Joël, 2020. "Duration of long-term care: Socio-economic factors, type of care interactions and evolution," Insurance: Mathematics and Economics, Elsevier, vol. 90(C), pages 151-168.
    4. Nico Keilman & Dinh Quang Pham & Arve Hetland, 2002. "Why population forecasts should be probabilistic - illustrated by the case of Norway," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 6(15), pages 409-454.
    5. Robert F. Schoeni & Vicki A. Freedman & Robert B. Wallace, 2001. "Persistent, Consistent, Widespread, and Robust? Another Look at Recent Trends in Old-Age Disability," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(4), pages 206-218.
    6. Kenneth G. Manton & XiLiang Gu & Vicki L. Lamb, 2006. "Long‐Term Trends in Life Expectancy and Active Life Expectancy in the United States," Population and Development Review, The Population Council, Inc., vol. 32(1), pages 81-105, March.
    7. Bernhard Babel & Eckart Bomsdorf & Rafael Schmidt, 2008. "Forecasting German mortality using panel data procedures," Journal of Population Economics, Springer;European Society for Population Economics, vol. 21(3), pages 541-555, July.
    8. Maria Fastame & Paul Hitchcott & Maria Penna, 2015. "Does education influence visuo-spatial and verbal immediate serial recall in healthy older adults?," Quality & Quantity: International Journal of Methodology, Springer, vol. 49(5), pages 2155-2167, September.
    9. Rothgang, Heinz & Vogler, Anke, 1997. "Die zukünftige Entwicklung der Zahl der Pflegebedürftigen bis zum Jahre 2040 und ihre Einflußgrößen," Working papers of the ZeS 06/1997, University of Bremen, Centre for Social Policy Research (ZeS).
    10. Ammara Cheema, 2013. "Upcoming picture of ageing population: Pakistan," Quality & Quantity: International Journal of Methodology, Springer, vol. 47(5), pages 2399-2413, August.
    11. Eileen M. Crimmins & Hiram Beltrán-Sánchez, 2010. "Mortality and Morbidity Trends: Is There Compression of Morbidity?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(1), pages 75-86.
    12. Muhammad Tariq Majeed & Farzana Naheed Khan, 2019. "Do information and communication technologies (ICTs) contribute to health outcomes? An empirical analysis," Quality & Quantity: International Journal of Methodology, Springer, vol. 53(1), pages 183-206, January.
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    1. Shemendyuk, Aleksandr & Wagner, Joël, 2024. "On the factors determining the health profiles and care needs of institutionalized elders," Insurance: Mathematics and Economics, Elsevier, vol. 114(C), pages 223-241.
    2. Chen, An & Fuino, Michel & Sehner, Thorsten & Wagner, Joël, 2022. "Valuation of long-term care options embedded in life annuities," Annals of Actuarial Science, Cambridge University Press, vol. 16(1), pages 68-94, March.

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