Long-term care partnerships: are they fit for purpose?

Savannah Bergquist, Joan Costa-Font and Katherine Swartz

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

Abstract: Long-term care partnership (LTCP) programs were designed to both encourage middle-income individuals to purchase private long-term care insurance, and defer the time when an individual would become eligible for Medicaid to pay her long term care services and supports (LTSS). This paper exploits the timing of state Partnership implementation (including four pilot states) to evaluate the program’s effects on new yearly insurance applications and contract uptake. We draw upon data from the National Association of Insurance Commissioners (NAIC) on new long term care insurance (LTCI) purchases (traditional and Partnership) by US state (weighted by the population over age 65 to make the data comparable). We use a difference-in-differences strategy to obtain estimates of the program effect of the LTCP on the overall uptake of private LTCI, and specifically of LTCP contracts and applications for a subsample of states. Findings suggest no significant effect of LTCP on insurance uptake and an increase in insurance applications. This result points towards a substitution between traditional and partnership contracts.

Keywords: long-term care (LTC) insurance; LTC partnerserhips (LTCP); subsidization; Medicaid; difference-in-difference (DD); insurance underwriting (search for similar items in EconPapers)
JEL-codes: H31 I18 I38 J14 (search for similar items in EconPapers)
Date: 2018-11-01
New Economics Papers: this item is included in nep-age, nep-hea and nep-ias
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Citations: View citations in EconPapers (7)

Published in Journal of the Economics of Ageing, 1, November, 2018, 12, pp. 151-158. ISSN: 2212-828X

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http://eprints.lse.ac.uk/87504/ Open access version. (application/pdf)

Related works:
Journal Article: Long-term care partnerships: Are they fit for purpose? (2018)
Working Paper: Long Term Care Partnerships: Are they 'Fit for Purpose'? (2015)
Working Paper: Long term care partnerships: are they 'fit for purpose'? (2015)
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Persistent link: https://EconPapers.repec.org/RePEc:ehl:lserod:87504

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