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he effect of 2006 Long-term Care Insurance Amendment on Cost Containment: an empirical evidence from nationally representative claims data

Research Project

Project/Area Number 17H07182
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field Public finance/Public economy
Research InstitutionWaseda University

Principal Investigator

FU RONG  早稲田大学, 政治経済学術院, 助教 (70805259)

Project Period (FY) 2017-08-25 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
KeywordsLong-term Care Insurance / Moral Hazard / moral hazard / natural experiment / dynamic programming / long-term care insurance / matching method / 経済政策
Outline of Final Research Achievements

We evaluate the presence and magnitude of moral hazard in Japan’s public long-term care insurance (LTCI) market. Using monthly LTCI claim records from January 2006 to December 2015 linked to concurrent death records, we construct a sample by propensity score matching insured individuals who copay 10% of their fees to those with no required copayments, and we implement fixed-effect estimations. We find that a ten-percentage-point reduction in the copayment rate increases monthly costs by 10.2 thousand yen, corresponding to a price elasticity of about -0.1. Insured individuals with no copayments tend to use more services and have more utilization days than those with copayments do.

Academic Significance and Societal Importance of the Research Achievements

Fiscal sustainability is the greatest concern faced by Japan's LTCI. We verify the possibility of cost-sharing adjustments as one solution. Our findings may have broad implications for the rapidly aging world by providing valuable evidence for governments planning to launch public LTCI.

Report

(3 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • Research Products

    (12 results)

All 2019 2018 2017 Other

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (6 results) (of which Int'l Joint Research: 4 results,  Invited: 1 results) Remarks (4 results)

  • [Journal Article] Moral hazard under zero price policy: evidence from Japanese long-term care claims data2019

    • Author(s)
      Rong Fu, Haruko Noguchi
    • Journal Title

      The European Journal of Health Economics

      Volume: 印刷中 Issue: 6 Pages: 1-15

    • DOI

      10.1007/s10198-019-01041-6

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Spillover effect of Japanese long-term care insurance as an employment promotion policy for family caregivers2017

    • Author(s)
      Fu Rong、Noguchi Haruko、Kawamura Akira、Takahashi Hideto、Tamiya Nanako
    • Journal Title

      Journal of Health Economics

      Volume: 56 Pages: 103-112

    • DOI

      10.1016/j.jhealeco.2017.09.011

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] Hospital Responses to Prospective Payment under the Japanese Universal Healthcare System2018

    • Author(s)
      Rong Fu
    • Organizer
      The 1st meeting of Asian Workshop on Econometrics and Health Economics
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Moral Hazard under Zero Price Policy: Evidence from Japanese Long-term Care Claims Data2018

    • Author(s)
      Rong Fu
    • Organizer
      The 12th European Conference on Health Economics
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Health and Health care disparities among elderly in Sweden and Japan2018

    • Author(s)
      Rong Fu
    • Organizer
      Sweden-Japan MIRAI Project 2018 Aging workshop
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Moral Hazard under Zero Price Policy: Evidence from Japanese Long-term Care Claims Data2018

    • Author(s)
      Rong Fu
    • Organizer
      日本経済学会2018年度春季大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Moral Hazard under Zero Price Policy: Evidence from Japanese Long-term Care Claims Data2018

    • Author(s)
      Rong FU
    • Organizer
      CPPE Annual Meeting
    • Related Report
      2017 Annual Research Report
  • [Presentation] Moral Hazard in the Long-term Care Market: evidence from Japanese claims data2017

    • Author(s)
      Rong FU
    • Organizer
      International Health Economics Association 12th World Congress
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Remarks] https://www.researchgate.net/profile/Rong_Fu4

    • Related Report
      2018 Annual Research Report
  • [Remarks] https://sites.google.com/view/nataliefu-homepage

    • Related Report
      2018 Annual Research Report
  • [Remarks] https://researchmap.jp/nataliefu/

    • Related Report
      2018 Annual Research Report
  • [Remarks] research gate

    • URL

      https://www.researchgate.net/profile/Rong_Fu4

    • Related Report
      2017 Annual Research Report

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Published: 2017-08-25   Modified: 2020-03-30  

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