Financing Long-Term Care in Germany

Zuchandke, Andy; Reddemann, Sebastian; Krummaker, Stefan

doi:10.1057/9780230349193_12

Cited by 7 publications

(13 citation statements)

References 5 publications

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“…In Germany, where out-ofpocket copayments have grown to be about half of aggregate LTC costs, a market for "additional," voluntary private LTC insurance to help cover copayments has developed. However, as of 2008, only 2.2% of all LTC insurance members (excluding people who do not pay a contribution) had purchased additional policies (59). In the Netherlands, insurers have failed to attract enough demand for such policies (51).…”

Section: Choice Of Ltc Insurersmentioning

confidence: 99%

“…Germany has a fledgling market for additional private LTC insurance, which covers the copayments required when people use formal LTC. Only 2.2% of all the people who paid for mandatory social or private LTC insurance purchased the additional LTC insurance in 2008 (59). Uncertainties about who will need LTC three or four decades into the future and how much such care might cost prevent an efficient private LTC insurance market from developing (1,19).…”

Section: Types Of Services Provided To the Elderly Who Need Assistancementioning

confidence: 99%

“…Local control of community services contributes to LTC differences within and across countries; it has enabled regions to reduce services provided or focus services only on the elderly with the greatest needs when an economic downturn occurs (2,45). Despite formal LTC programs existing in many OECD countries, a substantial majority (60-70%) of people who need LTC receive it informally from relatives or friends in all the countries (18,33,34,59).…”

Section: Types Of Services Provided To the Elderly Who Need Assistancementioning

confidence: 99%

“…In most European countries, cost-sharing requirements are income-based and can be substantial, particularly because "hotel" or roomand-board expenses connected to nursing home care are typically not considered part of LTC services. In Germany, half of aggregate LTC costs are currently funded by copayments (59). In the Scandinavian countries, out-of-pocket payments generally cannot exceed an amount indexed to inflation (33).…”

Section: Ltc Financing Asmentioning

confidence: 99%

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Searching for a Balance of Responsibilities: OECD Countries' Changing Elderly Assistance Policies

Swartz

2013

Annu. Rev. Public Health

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The rapid aging of OECD country populations and the now five-yearlong financial crisis in Europe are causing many OECD countries to reconfigure their assistance programs for the elderly, particularly their long-term care (LTC) policies. Debates about intergenerational responsibilities are evident in recently published research papers that examine how countries are revising programs for the elderly. Building financial sustainability into program reforms has suddenly become a priority. Until just recently, reform efforts focused on creating efficiencies and better quality of services. What emerges from the recent literature is a strong sense that the OECD countries are responding to the financial crisis and the rapid aging of populations in very similar ways. Given the countries' different histories of how they provide assistance to their elderly citizens, the convergence of policy responses is not something we might have foreseen. The United States could learn much from the OECD countries' choices.

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Section: Choice Of Ltc Insurersmentioning

confidence: 99%

Section: Types Of Services Provided To the Elderly Who Need Assistancementioning

confidence: 99%

Section: Types Of Services Provided To the Elderly Who Need Assistancementioning

confidence: 99%

Section: Ltc Financing Asmentioning

confidence: 99%

See 2 more Smart Citations

Searching for a Balance of Responsibilities: OECD Countries' Changing Elderly Assistance Policies

Swartz

2013

Annu. Rev. Public Health

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“…We create a categorical variables which reflects increasing hours of care per week and which is loosely based on the eligibility criteria of the German LTC insurance (for a general overview of the German LTC system, see Zuchandke et al, 2011). Basically, persons who claim benefits from the LTC insurance fund need to undergo a medical examination which assesses the care needs of the recipient.…”

Section: Caregiving Statusmentioning

confidence: 99%

Caring Alone? Social Capital and the Mental Health of Caregivers

Thiel

2016

SSRN Journal

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in SOEPpapers on Multidisciplinary Panel Data Research at DIW BerlinThis series presents research findings based either directly on data from the German SocioEconomic Panel study (SOEP) or using SOEP data as part of an internationally comparable data set (e.g. CNEF, ECHP, LIS, LWS, CHER/PACO). SOEP is a truly multidisciplinary household panel study covering a wide range of social and behavioral sciences: economics, sociology, psychology, survey methodology, econometrics and applied statistics, educational science, political science, public health, behavioral genetics, demography, geography, and sport science.The decision to publish a submission in SOEPpapers is made by a board of editors chosen by the DIW Berlin to represent the wide range of disciplines covered by SOEP. There is no external referee process and papers are either accepted or rejected without revision. Papers appear in this series as works in progress and may also appear elsewhere. They often represent preliminary studies and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be requested from the author directly.Any opinions expressed in this series are those of the author(s) and not those of DIW Berlin.Research disseminated by DIW Berlin may include views on public policy issues, but the institute itself takes no institutional policy positions. AbstractThis study analyzes the role of social capital in buffering the negative relationship between informal-care provision and mental health. Using data from the German Socio-Economic Panel (SOEP) and fixed-effect regression models, we show that those individuals who socialize more frequently enjoy better mental health. We also find that stronger social ties moderate the negative association between caregiving and mental well-being. The protective role of social capital appears to be particularly strong for caregivers with high time commitments or those who regularly perform voluntary work. The moderating role of social activities can neither be explained by the caregiver's observed characteristics correlated with social capital, nor by features of the caregiving process. However, the results might be driven by insufficient overlap in covariates between carers and non-carers, and the simultaneity between caring decisions and social activities. We relate our results to recent policy initiatives that aim to improve the carer's well-being. U...

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The effect of long-term care public benefits and insurance on informal care from outside the household: empirical evidence from Italy and Spain

2020

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This article uses cross-sectional data from the Survey of Health, Ageing, and Retirement in Europe (SHARE) database to test the effect of both long-term care (LTC) public benefits and insurance on the receipt of informal care provided by family members living outside the household in Italy and Spain. The choice of Italy and Spain comes from the fact that informal care is rather similar in these two countries while their respective public LTC financing systems are different. Our results support the hypothesis of LTC public support decreasing the receipt of informal care for Spain while reject it for Italy. They tend to confirm that the effect of public benefits on informal care depends on the typology of public coverage for LTC whereby access to proportional benefits negatively influences informal care receipt while access to cash benefits exerts a positive effect. Our results also suggest that private LTC insurance complements the public LTC financing system in place.

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Financing Long-Term Care in Germany

Cited by 7 publications

References 5 publications

Searching for a Balance of Responsibilities: OECD Countries' Changing Elderly Assistance Policies

Searching for a Balance of Responsibilities: OECD Countries' Changing Elderly Assistance Policies

Caring Alone? Social Capital and the Mental Health of Caregivers

The effect of long-term care public benefits and insurance on informal care from outside the household: empirical evidence from Italy and Spain

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