public-private partnership; insurance ; intergenerational phenomena; long-term care financing
Fuino Michel, Rudnytskyi Iegor, Wagner Joël (2020), On the characteristics of reporting ADL limitations and formal LTC usage across Europe, in European Actuarial Journal
Courbage Christophe, Montoliu‐Montes Guillem, Wagner Joël (2020), The effect of long-term care public benefits and insurance on informal care from outside the household: empirical evidence from Italy and Spain, in The European Journal of Health Economics
Courbage Christophe, Montoliu‐Montes Guillem (2020), Estate recovery and long‐term care insurance, in Journal of Public Economic Theory
Fuino Michel, Wagner Joël (2020), Duration of long-term care: Socio-economic factors, type of care interactions and evolution, in Insurance: Mathematics and Economics
, 90, 151-168.
Rudnytskyi Iegor, Wagner Joël (2019), Drivers of Old-Age Dependence and Long-Term Care Usage in Switzerland—A Structural Equation Model Approach, in Risks
, 7(3), 92.
Courbage Christophe, Costa-Font Joan, Wagner Joël (ed.) (2019), Long-term care insurance research and trajectory
, Palgrave Macmillan, UK.
Fuino Michel, Wagner Joël (2018), Old-age care prevalence in Switzerland: drivers and future development, in European Actuarial Journal
, 8(2), 321-362.
Fuino Michel, Wagner Joël (2018), Long-term care models and dependence probability tables by acuity level: New empirical evidence from Switzerland, in Insurance: Mathematics and Economics
, 81, 51-70.
Fuino Michel, Maichel-Guggemoos Liselotte, Wagner Joël, Customer Preferences in German Life Insurance Savings Products: A Conjoint Analysis Approach, in Journal of Insurance Issues
Switzerland like most industrialized countries is confronted with a rapid ageing of its population. This growing number of old people, and in particular of the very old, is increasing the need for long-term care (LTC). LTC is defined as ‘a range of services required by persons with a reduced degree of functional capacity, physical or cognitive, and who are consequently dependent for an extended period of time on help with basic activities of daily living’. Many countries, including Switzerland, are under pressure to find solutions to finance LTC and have put this item at the top of their economic and social agenda.In this research project, we want to study two themes related to the financing of LTC so as to extend the current academic literature, to apply methods and results to Switzerland and abroad and to address current and future challenges in the field.The first theme considers the interaction between public and private sources of LTC financing and is divided in two subtopics. First, we analyze how public financing and insurance models can be organized in order to have both sources of funding complementing each other rather than creating crowding-out effects. In particular, we investigate how public schemes and insurance could be structured so as to increase the benefits of acquiring LTC insurance coverage in the presence of public financing. The second subtopic studies the impact on the LTC insurance purchase decision of public policy aimed at recovering public LTC benefits from beneficiaries’ estate. Such policies are being introduced to recoup payments to LTC recipients as a way to reduce public LTC expenditure.The second theme investigates how intergenerational phenomena, and in particular children’s behavior as potential informal caregivers, interact with the development of LTC insurance markets. It is also divided in two subtopics. The first subtopic focuses on the motives, existence and extent of intra-family moral hazard, i.e. whether children as potential informal caregivers have disincentives to provide care when their parents have LTC insurance. The second subtopic studies the interests of children in having their elderly parents contracting LTC insurance and investigates the motives and roles of children in encouraging or influencing their elderly parents to contract LTC insurance. In light of the importance of finding an adequate organization for the financing of LTC in rapidly ageing countries, this research project is of high relevance to governments, individuals, insurers and other funders of LTC, as well as to society at large. Furthermore, the project aims to build on interdisciplinary research making use of economic thoughts and actuarial approaches on the topic of LTC financing by linking research groups from HEG Genève and HEC Lausanne