Informal care by close family members is the main pillar of most longterm care systems. However, due to demographic ageing the need for long-term care is expected to increase while the informal care potential is expected to decline. From a budgetary perspective, informal care is often viewed as...

In Germany, individuals in need of long-term care receive support through benefits of the long-term care insurance. A central goal of the insurance is to support informal care provided by family members. Care recipients can choose between benefits in kind (formal home care services) and benefits...

Germany introduced a new mandatory insurance for long-term care in 1995 as part of its social security system. It replaced a system based on means tested social welfare. Benefits from the long-term care insurance are not means tested and depend on the required level of care. The insurance...

An emerging question in demographic economics is whether there is a link between family size and the geographic distance between adult children and elderly parents. Given current population trends, understanding how different configurations of fam- ily size and sibship influence patterns of...

This paper examines the effect of increasing foreign staffing on the labor market outcomes of native workers in the German long-term care sector. Using administrative social security data covering the universe of long-term care workers and policy-induced exogenous variation, we find that...

Most systems of health care financing in EU member states currently include elements of income redistribution. The paper analyzes the effects of shifting this kind of redistribution to the tax system and argues that this reform could create two types of efficiency gains. On the expenditure side,...

Idee und Ziele des Risikostrukturausgleichs - Der Risikostrukturausgleich (im folgenden: RSA) in der Gesetzlichen Krankenversicherung wurde mit dem Gesundheits-Strukturgesetz von 1993 eingeführt und trat am 1.1.1994 in Kraft. Mit dem selben Gesetz wurden auch die Wahl- und Wechselmöglichkeiten...

Das präsentierte und diskutierte Modell eines sozialgebundenen Krankenversicherungswettbewerbs zeigt zum Ersten, dass ein derartiges System an vielen Stellen vom Staat reguliert werden muss. Es ist deutlich komplizierter als die bislang in der Diskussion befindlichen Lehrbuchmodelle und die...

Die aktuelle Diskussion über den Risikostrukturausgleich (RSA) zwischen den Gesetzlichen Krankenkassen konzentriert sich auf die Frage, ob zusätzlich Morbiditätsmerkmale berücksichtigt werden sollen. Vorliegende Studien deuten darauf hin, dass Kassenwechsler im Durchschnitt bessere Risiken...

In the expected-utility theory of the monetary value of a statistical life, the so-called "dead-anyway" effect discovered by Pratt and Zeckhauser (1996) asserts that an individuals' willingness to pay (WTP) for small reductions in mortality risk increases with the initial level of risk. Their...