Medicaid Crowd-Out of Long-Term Care Insurance with Endogenous Medicaid Enrollment

IF 1.6 3区经济学 Q2 ECONOMICS

Journal of Human Capital Pub Date : 2018-08-07 DOI:10.1086/698134

Geena Kim

引用次数: 3

Abstract

I examine the impact of policies lowering long-term care insurance (LTCI) premiums and Medicaid availability on the LTCI demand of unmarried elderly women living in four states—California, Florida, Texas, and Michigan—by developing and estimating a stochastic dynamic model of decisions on LTCI purchase, Medicaid enrollment, nursing home use, and asset holdings. The model parameters are estimated using the Health and Retirement Study from 1998 to 2004 by simulated maximum likelihood estimation. Counterfactual policy experiments based on the estimated parameters show that both price elasticity and Medicaid crowd-out of LTCI demand are small for the population studied.

查看原文本刊更多论文

医疗补助挤掉长期护理保险与内生医疗补助注册

我通过开发和估计一个关于长期护理保险购买、医疗补助注册、养老院使用和资产持有的随机动态决策模型，研究了降低长期护理保险（LTCI）保费和医疗补助可用性的政策对居住在加利福尼亚州、佛罗里达州、得克萨斯州和密歇根州四个州的未婚老年妇女的长期护理保险需求的影响。模型参数是使用1998年至2004年的健康和退休研究通过模拟最大似然估计进行估计的。基于估计参数的反事实政策实验表明，对于所研究的人群来说，价格弹性和长期信贷需求之外的医疗补助人群都很小。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Human Capital ECONOMICS-

CiteScore

2.30

自引率

0.00%

发文量

期刊介绍： Journal of Human Capital is dedicated to human capital and its expanding economic and social roles in the knowledge economy. Developed in response to the central role human capital plays in determining the production, allocation, and distribution of economic resources and in supporting long-term economic growth, JHC is a forum for theoretical and empirical work on human capital—broadly defined to include education, health, entrepreneurship, and intellectual and social capital—and related public policy analyses. JHC encompasses microeconomic, macroeconomic, and international economic perspectives on the theme of human capital. The journal offers a platform for discussion of topics ranging from education, labor, health, and family economics.