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

Savannah Bergquist, Joan Costa-Font and Katherine Swartz

The Journal of the Economics of Ageing, 2018, vol. 12, issue C, 151-158

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 partnerships (LTCP); Subsidization; Medicaid; Difference-in-differences (DD); Insurance underwriting (search for similar items in EconPapers)
JEL-codes: H31 I I18 J14 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (8)

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http://www.sciencedirect.com/science/article/pii/S2212828X17300634

Related works:
Working Paper: 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:eee:joecag:v:12:y:2018:i:c:p:151-158

DOI: 10.1016/j.jeoa.2018.03.006

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