Essays on Health Care Services and Insurance Coverage for Older Persons PDF Download

Author: Alice Monica Zawacki
Publisher:
ISBN:
Category :
Languages : en
Pages : 354

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Author: Angie Ahmadi
Publisher:
ISBN:
Category : Long-term care insurance
Languages : en
Pages : 0

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This dissertation focuses on long-term care (LTC) in old age and the low ownership of private long-term care insurance (LTCI). Older adults in the US face significant risk of needing long-term care services. Despite the risk, most Americans never attempt to insure against it, and those who do tend to apply late in life when they are likely to be rejected. The first essay in this dissertation builds a quantitative equilibrium model to study consumers' decision about when to buy LTCI in the presence of uninsurability risk. The model evaluates how much of the delay in purchase can be explained by risk misperceptions. I formulate the problem as a three-period model where consumers may buy insurance in a competitive market based on their observable risk characteristics during the first two periods in order to insure against nursing home risk in the third period. I estimate the model using the Health and Retirement Study (HRS). The model successfully reproduces the low ownership rates and timing of purchase across all income quintiles. I find that risk misperceptions lead to 42% lower than optimal purchase rate, and cause 29% of early buyers to delay their purchase. The sub-optimal behavior is particularly pronounced among the middle-income consumers. The second essay studies the patterns of LTC risk and LTCI purchase across race and ethnicity in the US. By 2050, the share of Blacks and Hispanics in the over-85 population is expected to increase to 40%. A better understanding of risk and insurance across different segments of the aging population is particularly important, given this increasing racial heterogeneity in older adults. Using the HRS, this chapter studies racial disparities in late-in-life health outcomes and estimates the risk of having a nursing home stay over lifetime across race and ethnicity. It finds that Blacks and Hispanics have a lower risk of entering a nursing home than Whites. The paper also examines differences in the likelihood of LTCI purchase across different racial and ethnic groups. The findings suggest that once demographic, socioeconomic, and family characteristics are accounted for, non-Whites are not less likely to buy insurance.

Author:
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 140

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Author: Gerald R. Winslow
Publisher: Routledge
ISBN: 9780367007850
Category :
Languages : en
Pages : 334

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Advances in medical technology and the rapidly increasing population of older Americans are causing people to question the ethical limits of life-extending interventions. How do we weigh issues involving equity, efficiency, autonomy, natural life span, and responsibility for the financial burdens of health care for the elderly? In this collection of essays, leaders in the fields of ethics, medicine, nusing, economics and public policy explore the pressing issues of providing health care for the elderly.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213

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Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309131952
Category : Medical
Languages : en
Pages : 316

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As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Author: Chris Hackler
Publisher: SUNY Press
ISBN: 9780791419991
Category : Social Science
Languages : en
Pages : 248

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Pivoting on Daniel Callahan's proposal to withhold publicly funded life-prolonging medical care from the very old in his 1989 Setting Limits: Medical Goals in an Aging Society, 14 essays consider the health-care crisis looming early in the next century as the baby boomers reach retirement age. They discuss the role of the aged in society, what the old and young deserve of each other, the source of medical cost increases, implications of rationing according to age, and proposals for a system that will address both immediate problems and long-term conditions. Annotation copyright by Book News, Inc., Portland, OR

Author: Aikaterini Gousia
Publisher:
ISBN:
Category : Medical economics
Languages : en
Pages : 141

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This thesis focuses on three distinct topics around healthcare and ageing. The first chapter assess the effectiveness of the current regime that regulates the entry and geographical distribution of pharmacies in Italy. Using a structural model from the recent literature on entry I find that the public interest view is not supported in the Italian case. Alternative policies that combine entry deregulation and markup reduction are found to achieve the same if not better geographical coverage by pharmacies, higher supply of pharmaceutical services, entry by new pharmacists and important government savings. The second chapter seeks to see whether financial literacy can be a factor that affects demand for private long-term care insurance. Using detailed data from the Health and Retirement Study I construct two comprehensive indices for financial literacy that capture various aspects and degrees of financial skills and knowledge. Using an instrumental variables approach I find that those with higher financial literacy are more likely to own private long-term care insurance. The third chapter investigates the effect of gradual retirement on a variety of health outcomes. Using a regression discontinuity approach I find that partial retirement has a preserving health effect in old age contrary to full time work that is found to deteriorate health. The effect of partial retirement on health is in fact larger in magnitude, suggesting that the health effects of working are non linear in old age.

Author: United States. Congress. House. Select Committee on Aging. Subcommittee on Health and Long-Term Care
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 112

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Author: Gerald R. Winslow
Publisher: Routledge
ISBN: 9780367157722
Category : Medical care, Cost of
Languages : en
Pages : 318

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Book Description
Advances in medical technology and the rapidly increasing population of older Americans are causing people to question the ethical limits of life-extending interventions. How do we weigh issues involving equity, efficiency, autonomy, natural life span, and responsibility for the financial burdens of health care for the elderly? In this collection o