The Long-Term Care Insurance Market

Kessler, Denis

doi:10.1057/palgrave.gpp.2510164

Cited by 39 publications

(14 citation statements)

References 6 publications

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“…With about 3 million policy‐holders – totalling €2.1 billion in 2007 – France is proportionally the largest private insurance market in this field, ahead of the USA (with approximately 7 million policy‐holders for a population which is 5 times greater). Nevertheless, compared to the 14 million people over 60 in France, it remains a small proportion of the potential market (Kessler 2008; Dufour‐Kippelen 2008; De Castries 2009).…”

Section: A Fragmented Policymentioning

confidence: 99%

Reforming Long‐term Care Policy in France: Private–Public Complementarities

Bihan

Martin

2010

Soc Policy Adm

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We argue that the long-term care (LTC) policy reform in France results from a long-lasting evolution process that began in the 1980s and has led to the so-called 'French compromise'. This combines elements of different types of a fragmented care system including health insurance schemes, domiciliary and residential social care providers, tax deductions and an important private insurance sector, not to mention the crucial contribution of informal caregivers in families. This article concentrates on policies in both the public and the private sectors, as well as their overall cost. We focus on the core of the LTC policy, namely the creation and then the reforms of the cash-for-care allowance (Allocation personnalisée à l'autonomie). The evolution of the policy process concluded, after the 2007 Presidential election, with the announcement of a new direction, which has not been implemented yet, but which has raised professional and social concerns. Evidence from France suggests that LTC reform can only take place from a new compromise between three poles of protection: the family, the market and the state. A Fragmented PolicyConfronted by the ageing of its population, France has, over the last few decades, developed a specific LTC policy for the elderly. The objective is to complement the informal care provided by relatives (mainly women), which still represents the main contribution to the provision of the care needs of the elderly. The LTC system does not constitute a homogeneous policy field. It cuts across a range of policies in the public sector such as social care, health

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Section: A Fragmented Policymentioning

confidence: 99%

Reforming Long‐term Care Policy in France: Private–Public Complementarities

Bihan

Martin

2010

Soc Policy Adm

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“…A second wave, updating the first, was released in 2007. This second wave is the one we are 11 Kessler (2008). 12 The market for LTC insurance in the United States accounts for nearly 10 per cent of the population and is confronted to a recent decline (McNamara and Lee, 2004).…”

Section: Datamentioning

confidence: 99%

Empirical Evidence on Long-term Care Insurance Purchase in France

Courbage

Roudaut

2008

Geneva Pap Risk Insur Issues Pract

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While many theoretical arguments have been proposed to explain the decision whether to purchase long-term care (LTC) insurance, little work has been done to study this phenomenon empirically. This article uses cross-sectional data from the newly developed SHARE (Survey of Health, Ageing, and Retirement in Europe) database to estimate the determinants of the probability of purchasing LTC insurance in France. We show that LTC insurance is purchased not only to preserve bequests and to financially protect families in the event of disability, but also to reduce the burden on potential informal care givers. Risk behaviours as well as experience of disability also play a significant role in explaining the demand for LTC insurance in France.

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“…What is well documented is that private markets for long-term care insurance seem to suffer from relatively strong adverse selection (Kessler 2008, Oster et al 2010 as well as selective lapsing of "good risks," i.e., healthier policyholders (Finkelstein et al 2005). There is also evidence that the inclusion of long-term care in means-tested safety net programs may crowd out the demand for private policies (Sloan andNorton 1997, Brown and.…”

Section: Long-term Care Insurancementioning

confidence: 99%

Social Insurance and Health

Ziebarth¹

2018

Health Econometrics

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in Social Insurance and Health july 2017Any opinions expressed in this paper are those of the author(s) and not those of IZA. Research published in this series may include views on policy, but IZA takes no institutional policy positions. The IZA research network is committed to the IZA Guiding Principles of Research Integrity. The IZA Institute of Labor Economics is an independent economic research institute that conducts research in labor economics and offers evidence-based policy advice on labor market issues. Supported by the Deutsche Post Foundation, IZA runs the world's largest network of economists, whose research aims to provide answers to the global labor market challenges of our time. Our key objective is to build bridges between academic research, policymakers and society. IZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author. Social insurance encompasses programs primarily designed to insure against health risks, such as health insurance, sick leave insurance, accident insurance, long-term care insurance and disability insurance; and programs that insure against other risks, such as unemployment insurance, pension insurance and country-specific social insurance. These insurance systems exist in almost all developed countries around the world. This chapter discusses the stateof-the art evidence on each of these social insurance systems, briefly reviews the empirical methods for identifying causal effects, and examines possible limitations to these methods.The findings reveal robust and rich evidence on first-stage behavioral responses ("moral hazard") to changes in insurance coverage. Surprisingly, evidence on how changes in coverage impact beneficiaries' health is scant and inconclusive. This lack of identified causal health effects is directly related to limitations on how human health is typically measured, limitations on the empirical approaches and a paucity of administrative panel data spanning long-time horizons. Future research must be conducted to fill these gaps. Of particular importance is evidence on how these social insurance systems interact and affect human health over the lifecycle and in the long-run. JEL Classification:H1, H5, I1, J2

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The Long-Term Care Insurance Market

Cited by 39 publications

References 6 publications

Reforming Long‐term Care Policy in France: Private–Public Complementarities

Reforming Long‐term Care Policy in France: Private–Public Complementarities

Empirical Evidence on Long-term Care Insurance Purchase in France

Social Insurance and Health

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