Associations of aging trajectories for an index of frailty score with mortality and medical and long‐term care costs among older Japanese undergoing health checkups

2020 ◽  
Vol 20 (11) ◽  
pp. 1072-1078
Author(s):  
Yu Taniguchi ◽  
Akihiko Kitamura ◽  
Takumi Abe ◽  
Gotaro Kojima ◽  
Tomohiro Shinozaki ◽  
...  
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Costs ◽  
Frailty Score

scholarly journals Review on Pricing Models for Long-term Care Insurance

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Muhammad Syakir Asrulsani ◽  
Mazlynda Md Yusuf
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Long Term Care ◽  
Financial Burden ◽  
Term Care ◽  
Protection Mechanism ◽  
Long Term Care Insurance ◽  
Risk Protection ◽  
Care Costs

Funding for long-term care costs among elderly people is a critical matter, especially due to high costs and an unexpected length of time. Placement for long-term care that is funded under Jabatan Kebajikan Masyarakat (JKM) is very limited, hence, the next option is through private nursing homes. However, the cost could be up to RM 2,000 a month for each person. Therefore, Long- Term Care Insurance is an alternative to fund for Long-Term Care costs as it is expected to reduce financial burden during old age. It is a risk protection mechanism for an insured that needs health and financial protection when an individual is unable to do activities of daily living (ADL) or supports in instrumental activities of daily living (IADL). This paper reviews three models that have been used in pricing long-term care insurance. All three models use the equivalent principle of premium to price the insurance policy. However, the probability and assumptions used for each model differ, depending on the insured's needs and profile.

Tax Relief, or Lack Thereof, for the Long-Term Care Costs of the Aging Population in America

2009 ◽  
Vol 7 (1) ◽  
pp. 99-120
Author(s):  
Cynthia Blanthorne ◽  
Mark M. Higgins
Keyword(s):  
Long Term Care ◽  
Aging Population ◽  
The United States ◽  
Term Care ◽  
Adult Individual ◽  
Raising Children ◽  
Head Of Household ◽  
Tax Relief ◽  
Care Costs

ABSTRACT: As the health and longevity of Americans continue to improve, adult children caring for aging parents—possibly at the same time as raising children of their own—is becoming a national phenomenon. This paper examines current and proposed income tax relief for taxpayers who provide financial support for the long-term care of an adult individual (e.g., parent of taxpayer). Four specific tax relief options are evaluated: dependency exemption, head of household filing status, medical itemized deduction, and dependent care credit. The current tax law is not structured to encompass the unprecedented issue of the long-term care costs of the aging population in the United States. In response, various options are introduced to advance the discussion of tax policy alternatives.

Long-Term Care Costs Continue to Climb

2006 ◽  
Vol 7 (6) ◽  
pp. 10
Author(s):  
ANN-MARIE LINDSTROM
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Costs

scholarly journals Medical and Long-Term Care Costs When Older Persons Become More Dependent

2002 ◽  
Vol 92 (8) ◽  
pp. 1244-1245 ◽  
Author(s):  
Jack M. Guralnik ◽  
Lisa Alecxih ◽  
Laurence G. Branch ◽  
Joshua M. Wiener
Keyword(s):  
Older Persons ◽  
Long Term Care ◽  
Term Care ◽  
Care Costs

Can Catastrophic Long-Term Care Insurance Policies Increase Private Insurance Coverage and Reduce Medicaid Expenditure?

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Guoxuan Ma ◽  
Wei Sun
Keyword(s):  
Long Term Care ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Purchase Decisions ◽  
Term Care ◽  
Middle Income ◽  
Insurance Policies ◽  
Long Term Care Insurance ◽  
Care Costs

Abstract Using an inter-temporal optimization model of long-term care insurance purchase decisions, we evaluate catastrophic long-term care insurance policies that cover the tail risk of long-term care costs at affordable premiums. Under our baseline model, we show theoretically that introducing catastrophic policies will induce 11 percent of middle-income men and 3 percent of middle-income women to initiate private insurance coverage. As a result, Medicaid costs will be reduced by 0.20 percent and 0.19 percent for men and women, respectively.

Catastrophic Acute and Long-term Care Costs: Risks Faced by Disabled Elderly Persons

1993 ◽  
Vol 33 (3) ◽  
pp. 299-307 ◽  
Author(s):  
K. Liu ◽  
M. Perozek ◽  
K. Manton
Keyword(s):  
Long Term Care ◽  
Elderly Persons ◽  
Term Care ◽  
Disabled Elderly ◽  
Care Costs

scholarly journals Health-economic evaluation of collaborative orthogeriatric care for patients with a hip fracture in Germany: a retrospective cohort study using health and long-term care insurance claims data

2021 ◽  
Author(s):  
Claudia Schulz ◽  
Gisela Büchele ◽  
Raphael S. Peter ◽  
Dietrich Rothenbacher ◽  
Christian Brettschneider ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Hip Fracture ◽  
Societal Perspective ◽  
Retrospective Cohort ◽  
Standard Care ◽  
Long Term Care ◽  
Term Care ◽  
Long Term Care Insurance ◽  
Care Costs

Abstract Background Evidence suggests benefits of orthogeriatric co-management (OGCM) for hip fracture patients. Yet, evidence on cost-effectiveness is limited and based on small datasets. The aim of our study was to conduct an economic evaluation of the German OGCM for geriatric hip fracture patients. Methods This retrospective cohort study was based on German health and long-term care insurance data. Individuals were 80 years and older, sustained a hip fracture in 2014, and were treated in hospitals providing OGCM (OGCM group) or standard care (control group). Health care costs from payer and societal perspective, life years gained (LYG) and cost-effectiveness were investigated within 1 year. We applied weighted gamma and two-part models, and entropy balancing to account for the lack of randomisation. We calculated incremental cost-effectiveness ratios (ICER) and employed the net-benefit approach to construct cost-effectiveness acceptability curves. Results 14,005 patients were treated in OGCM, and 10,512 in standard care hospitals. Total average health care costs per patient were higher in the OGCM group: €1181.53 (p < 0.001) from payer perspective, and €1408.21 (p < 0.001) from societal perspective. The ICER equalled €52,378.12/ LYG from payer and €75,703.44/ LYG from societal perspective. The probability for cost-effectiveness would be 95% if the willingness-to-pay was higher than €82,000/ LYG from payer, and €95,000/ LYG from societal perspective. Conclusion Survival improved in hospitals providing OGCM. Costs were found to increase, driven by inpatient and long-term care. The cost-effectiveness depends on the willingness-to-pay. The ICER is likely to improve with a longer follow-up.

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