| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w10989 |
| 来源ID | Working Paper 10989 |
| The Interaction of Public and Private Insurance: Medicaid and the Long-Term Care Insurance Market | |
| Jeffrey R. Brown; Amy Finkelstein | |
| 发表日期 | 2004-12-20 |
| 出版年 | 2004 |
| 语种 | 英语 |
| 摘要 | We show that the provision of even incomplete public insurance can substantially crowd out private insurance demand. We examine the interaction of the public Medicaid program with the private market for long-term care insurance and estimate that Medicaid can explain the lack of private insurance purchases for at least two-thirds and as much as 90 percent of the wealth distribution, even if comprehensive, actuarially fair private policies were available. Medicaid's large crowd out effect stems from the very large implicit tax (on the order of 60 to 75 percent for a median wealth individual) that Medicaid imposes on the benefits paid from private insurance policies. Importantly, Medicaid itself provides an inadequate mechanism for smoothing consumption for most individuals, so that its crowd out effect has important implications for overall risk exposure. An implication of our findings is that public policies designed to stimulate private insurance demand will be of limited efficacy as long as Medicaid continues to impose this large implicit tax. |
| 主题 | Public Economics ; Public Goods ; National Fiscal Issues ; Health, Education, and Welfare ; Health ; Labor Economics ; Demography and Aging |
| URL | https://www.nber.org/papers/w10989 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/568624 |
| 推荐引用方式 GB/T 7714 | Jeffrey R. Brown,Amy Finkelstein. The Interaction of Public and Private Insurance: Medicaid and the Long-Term Care Insurance Market. 2004. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w10989.pdf（436KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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