Two-sided intergenerational moral hazard, long-term care insurance, and nursing home use

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Two-sided intergenerational moral hazard occurs (i) if the parent's decision to purchase long-term care (LTC) coverage undermines the child's incentive to exert effort because the insurance protects the bequest from the cost of nursing home care, and (ii) when the parent purchases less LTC coverage, relying on child's effort to keep him out of the nursing home. However, a "net" moral hazard effect obtains only if the two players' responses to exogenous shocks fail to neutralize each other, entailing a negative relationship between child's effort and parental LTC coverage. We focus on outcomes out of equilibrium, interpreting them as a break in the relationship resulting in no informal care provided and hence high probability nursing home admission. Changes in the parent's initial wealth, LTC subsidy received, and child's expected inheritance are shown to induce "net" moral hazard, in contradistinction to changes in child's opportunity cost and share in the bequest.
Original languageEnglish
JournalJournal of Risk and Uncertainty
Volume43
Issue number1
Pages (from-to)65-80
Number of pages16
ISSN0895-5646
DOIs
Publication statusPublished - 01.08.2011

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