The impact of private long-term care insurance on the use of long-term care.

TitleThe impact of private long-term care insurance on the use of long-term care.
Publication TypeJournal Article
Year of Publication2011
AuthorsLi, Y, Jensen, GA
Date Published2011 Spring
ISSN Number0046-9580
KeywordsAged, Aged, 80 and over, Decision making, Female, Health Services Accessibility, Home Care Services, Home Nursing, Humans, Insurance, Long-Term Care, Likelihood Functions, Long-term Care, Male, Models, Econometric, Nursing homes, Private Sector, Regression Analysis, United States

This paper investigates the effects of privately purchased long-term care insurance (LTCI) on three major types of long-term care services: nursing home care, paid home care, and informal care received from Family and friends. Using 2002-2008 data from the ongoing Health and Retirement Study, we analyze the determinants of long-term care utilization simultaneously with the determinants of holding LTCI. We find that LTCI has modest effects on the likelihood of using long-term care services. For the very frail elderly, private LTCI enhances their access to nursing home care. For those with moderate disability, LTCI makes it more likely that they can remain at home and receive home care services, instead of going to a nursing home. We find no evidence that formal care substitutes for informal care in the presence of LTCI. These findings suggest that if LTCI becomes much more prevalent in the future, many older adults will be able to choose the type of long-term care arrangement that best suits their needs.

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Endnote Keywords

Life insurance/health insurance/Experiment/theoretical treatment/Long term care insurance/Impact analysis/Long term health care/Elder care/Health services utilization

Endnote ID


Alternate JournalInquiry
Citation Key7590
PubMed ID21634261