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J Risk Insur. 2009 Feb 10;76(1):5-29.

The Private Market for Long-Term Care Insurance in the U.S.: A Review of the Evidence.

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University of Illinois at Urbana-Champaign and NBER.


This paper reviews the growing literature on the market for private long-term care insurance, a market notable for its small size despite the fact that long-term care expenses are potentially large and highly uncertain. After summarizing long-term care utilization and insurance coverage in the United States, the paper reviews research on the supply of and the demand for private long-term care insurance. It concludes that demand-side factors impose important limits on the size of the private market and that we currently have a limited understanding of how public policies could be designed to encourage the growth of this market.

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