Moral Hazard And Long-Term Care Insurance

Document Type

Article

Publication Date

4-16-2019

Published In

The Geneva Papers On Risk And Insurance: Issues And Practice

Abstract

In private long-term care insurance markets, moral hazard is central to pricing and long-run robustness of the market, yet there is remarkably little evidence on the extent to which moral hazard is present in long-term care insurance. We use Health and Retirement Study data from 1996 to 2014 to assess moral hazard in nursing home and home care use in private long-term care insurance, employing a combination of propensity score matching and instrumental variables approaches. We find evidence of significant moral hazard in home care use and a potentially meaningful but noisy effect on nursing home use. Policymakers designing incentives to promote private long-term care insurance should consider the consequences of moral hazard.

Keywords

Moral hazard, Long-term care insurance, Ageing, Nursing homes, Home care

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