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An Economic Analysis of Life Care

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  • Jonathan S. Feinstein

    ()
    (School of Management)

  • Edward Keating

    ()
    (Santa Monica CA Offices)

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    Abstract

    Life care communities offer long term care to the elderly in the context of a residential community. Residents move into a life care community while still relatively young (though typically past age 65), initially occupying an independent living unit situated in a living complex similar to a retirement community. Later, when a resident requires more intensive care, she moves to an on-site nursing facility. In this paper we present an economic analysis of the life care industry. Our model includes a detailed specification of elderly couples' utility, a description of elderly morbidity and mortality experiences, and a formulation of the life care contract. Our results suggest that life care can offer considerable benefits to the elderly; in particular, we calculate that - based on the contractual terms which will be offered by a profit-maximizing life care operator - moving into a life care facility provides an elderly couple of age 65 with an expected surplus of $20,000 to $80,000 as compared with the alternative of remaining in their own home and utilizing (when necessary) a stand-alone nursing home. We also show that introducing into the model the risk of operator bankruptcy, which historically has been significant, substantially alters the equilibrium life care contract, and generates contractual terms which are quite close to those observed in practice.

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    Bibliographic Info

    Paper provided by Yale School of Management in its series Yale School of Management Working Papers with number ysm438.

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    Date of creation: 10 Dec 2003
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    Handle: RePEc:ysm:somwrk:ysm438

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    Web page: http://icf.som.yale.edu/
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    Related research

    Keywords: Capitalization; Local Public Goods; School Quality; Discrete Choice Models; Hedonic Price Regression; Education Demand;

    This paper has been announced in the following NEP Reports:

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