A Study on the Impact of Long-term Care Insurance on Catastrophic Health Expenditures for Older People
The high cost of care for disabled older people can lead to catastrophic health expenditures and poverty vulnerability risks for families.Using CHARLS data from 2013 to 2018 for empirical analysis,this paper empirically tested the impact of long-term care insurance policy implementation on catastrophic health expenditures for older people using the Difference-in-Differences(DID)model.The study found that:(1)long-term care insurance can reduce the probability and intensity of catastrophic health expenditures for older people;(2)Mechanism analysis shows that long-term care insurance can reduce the incidence of catastrophic health expenditures by improving the health of older people and increasing household income;(3)The heterogeneity analysis shows that the relief effect of long-term care insurance on catastrophic health expenditures for older people is more significant in those with middle to high health levels,chronic disease patients,and rural samples.Finally,it proposes policy suggestions on expanding the pilot coverage of the long-term care insurance system,broadening the coverage of long-term care insurance,introducing more accurate medical expense identification standards into the long-term care insurance policy framework based on catastrophic health expenditures,and promoting the coordinated development of social and commercial long-term care insurance,and other related aspects.This paper enriches the relevant research on the impact of long-term care insurance on catastrophic health expenditures.
Long-term Care InsuranceOlder PeopleCatastrophic Health Expenditures