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Pathways to Long Term Care Insurance Among the Elderly.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Pathways to Long Term Care Insurance Among the Elderly./
Author:	Sanmartin, Maria Xose.
Description:	1 online resource (107 pages)
Notes:	Source: Dissertation Abstracts International, Volume: 79-02(E), Section: A.
Subject:	Economics. -
Online resource:	click for full text (PQDT)
ISBN:	9780355389951

Pathways to Long Term Care Insurance Among the Elderly.
Sanmartin, Maria Xose.

Pathways to Long Term Care Insurance Among the Elderly. - 1 online resource (107 pages)

Source: Dissertation Abstracts International, Volume: 79-02(E), Section: A.

Thesis (Ph.D.)--State University of New York at Stony Brook, 2017.

Includes bibliographical references

Given the highly uncertain nature of health in the later stages of life a large private long-term care insurance market is predicted, but not evident with only 14.2% of those over 60 participating in 2009 (Ujvari, 2012). The government provides a substitute for long term care insurance for those who are eligible, and because eligibility for Medicaid can be a choice, it offers a low cost substitute for private insurance. In this work we demonstrate that it has become the preferred choice for many middle income Americans, who are not the target for this program.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9780355389951Subjects--Topical Terms:

555568
Economics.
Index Terms--Genre/Form:

554714
Electronic books.

Pathways to Long Term Care Insurance Among the Elderly.
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100 1 $a Sanmartin, Maria Xose. $3 1189300
245 1 0 $a Pathways to Long Term Care Insurance Among the Elderly.
264 0 $c 2017
300 $a 1 online resource (107 pages)
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500 $a Source: Dissertation Abstracts International, Volume: 79-02(E), Section: A.
500 $a Adviser: Debra Dwyer.
502 $a Thesis (Ph.D.)--State University of New York at Stony Brook, 2017.
504 $a Includes bibliographical references
520 $a Given the highly uncertain nature of health in the later stages of life a large private long-term care insurance market is predicted, but not evident with only 14.2% of those over 60 participating in 2009 (Ujvari, 2012). The government provides a substitute for long term care insurance for those who are eligible, and because eligibility for Medicaid can be a choice, it offers a low cost substitute for private insurance. In this work we demonstrate that it has become the preferred choice for many middle income Americans, who are not the target for this program.
520 $a In the first chapter we have made several contributions. Often policy analyses aimed at quantifying take-up of benefits and impact among those eligible for benefits begin by identifying the eligible pool for benefits. This has proven to be a challenge in the literature given the complexities associated with determining eligibility for Medicaid among the elderly. We contribute to the literature by using a rich panel data that allows us to examine asset transfer behavior and Medicaid take-up in an attempt to identify the size and attributes of suspects for Medicaid abuse through endogenous eligibility. We have also developed an empirical model to test hypotheses regarding choices by type among individuals who are actively in the market for LTCI. My hypotheses stem from a choice model that yields two key variables of interest: one is adverse selection and the other one is risk aversion.
520 $a In chapter two and three we study the timing of the transfer behavior and Medicaid take up to consider factors that precipitate these events as well as how they relate to each other. First, we capture underlying commonalities among different indicators to pick up the important latent attributes of those who are at risk for endogenous adopter behavior. We conduct factor analysis to allow for collinearity among covariates that may have an impact on being at risk for this behavior. Second, we use a Markov model to identify the different paths that lead to the decision of transferring their property to their children as well as the transition probabilities that would predict this behavior. Finally, we identify the main determinants that would trigger Medicaid take up among those who have transferred their property while adjusting for a set of relevant covariates, using a competing risk model.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2018
538 $a Mode of access: World Wide Web
650 4 $a Economics. $3 555568
650 4 $a Gerontology. $3 559846
650 4 $a Health care management. $3 1148454
655 7 $a Electronic books. $2 local $3 554714
690 $a 0501
690 $a 0351
690 $a 0769
710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a State University of New York at Stony Brook. $b Economics. $3 1180906
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10226726 $z click for full text (PQDT)