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Actuarial Analyses of Long Term Care Insurance for the Elderly in Korea

노인장기요양보험의 보험수리적 분석

  • Kwon, Hyuk-Sung (Department of Statistics and Actuarial Science, Soongsil University)
  • 권혁성 (숭실대학교 정보통계.보험수리학과)
  • Received : 2013.07.18
  • Accepted : 2013.09.09
  • Published : 2013.10.31

Abstract

Retirement income is an important personal and social issue. Problems associated with financial risk wil1 become more pronounced with the growth in the elderly population. Medical expenses in senescence is closely related to financial risk; in addition, some diseases that require long term care will increase financial risk which result in lower quality of life for the elderly. Therefore, it is necessary to understand expected long-term care costs and to manage financial risk from the perspective of an individual. This study evaluate the length of period in which a person is expected to need long term care and actuarial present values of the total cost which needs to be prepared for the care through the Korean public long term care system based on the experience data obtained from Long Term Care Insurance for the Elderly in Korea and a multi-state model.

최근 노년기의 삶에 대비하기 위한 은퇴자금 마련이 중요한 개인적, 사회적 문제로 부각되고 있다. 특히, 앞으로 노년인구의 비율이 지속적으로 상승할 것이라는 전망과 더불어 이러한 개인의 재무설계 및 그와 관련한 리스크와 관련한 문제는 그 중요성이 날로 커질 것이다. 노년기의 질병에 따른 의료비 지출은 특히 재무적인 리스크와 밀접한 관련이 있는데, 유병 기간이 상대적으로 긴 질병의 경우에는 수발비용을 포함한 장기적인 의료비 지출로 인하여 재무적인 위험을 증가시키고 노년기의 삶의 질을 크게 떨어뜨릴 수 있다. 따라서, 각 개인이 장기적인 비용 지출을 요하는 질병에 대하여 예상되는 비용의 규모를 파악하고 이를 사전에 대비할 수 있는 방안을 모색하는 것이 필요하다. 본 연구에서는 노인장기요양보험의 실적 자료와 다중상태모형을 토대로, 노년기에 노인장기요양보험을 통하여 장기요양보호가 필요한 기간과 이에 따른 비용 규모의 추정을 통하여, 각 개인이 장기간병을 위해 준비해야 하는 필요금액을 도출하여 보았다.

Keywords

References

  1. Annual Statistics of Korean public Long-Term Care Insurance (2010). National Health Insurance Service.
  2. Choi, I. D., Lee, S. L. and Lee, J. M. (2010). Projection of Long-Term Care Insurance: Beneficiary and personnel and facility, Journal of the Korean Social Security Association, 26, 375-400.
  3. Cunningham, R. J., Herzog, T. N. and London, R. L. (2011). Models for Quantifying Risks, ACTEX Publications.
  4. Dickson, C. M. D., Hardy, M. R. and Waters, H. R. (2011). Actuarial Mathematics for Life Contingent Risks, Cambridge University Press.
  5. Goddard, E. (1998). 1994 General Household Survey: Follow-up of the Health of People Aged 65 and Over, Department of Health, London.
  6. Hoem, J. M. (1969). Markov Chain models in life insurance, Blatter der Deutschen Gesellschaft fur Versicherungsmathematik, 9, 91-107
  7. Jones, B. L. (1994). Actuarial calculations using a Markov model, Transactions of the Society of Actuaries, 46, 227-250.
  8. Karlsson, M., Mayhew, L., Plumb, R. and Rickayzen, B. (2006). Future costs for long-term care cost projections for long-term care for older people in the United Kingdom, Health Policy, 75, 187-213. https://doi.org/10.1016/j.healthpol.2005.03.006
  9. Kwon, H. S. and Jones, B. L. (2006). The impact of the determinants of mortality on life insurance and annuities, Insurance: Mathematics and Economics, 38, 271-288. https://doi.org/10.1016/j.insmatheco.2005.08.007
  10. Kwon, H. S. and Jones, B. L. (2008). Applications of a multi-state risk factor/mortality model in life insurance, Insurance: Mathematics and Economics, 43, 394-402. https://doi.org/10.1016/j.insmatheco.2008.07.004
  11. Kwon, H. S. and Lee, C. S. (2011). Estimating future needs of the Korean Public Long-Term Care Insurance, Korean Journal of Insurance, 88, 89-114.
  12. Kwon, H. S., Lee, C. S. and Hur, J. S. (2013). Projecting the cost of long-term care insurance in Korea, Asia-Pacific Journal of Risk and Insurance, 7, Article 4.
  13. Leung, E. (2004). Projecting the needs and costs of long term care in Australia, Australian Actuarial Journal, 10, 343-385.
  14. Macdonald, A. S., Waters, H. R. and Wekwete, C. T. (2005a). A model for coronary heart disease and stroke with applications to critical illness insurance underwriting I: The model, North American Actuarial Journal, 9, 13-40. https://doi.org/10.1080/10920277.2005.10596182
  15. Macdonald, A. S., Waters, H. R. and Wekwete, C. T. (2005b). A model for coronary heart disease and stroke with applications to critical illness insurance underwriting I: Applications, North American Actuarial Journal, 9, 41-56 https://doi.org/10.1080/10920277.2005.10596183
  16. Perk, W. (1932). On some experiments in the graduation of mortality statistics, Journal of the Institute of Actuaries, 63, 12-57. https://doi.org/10.1017/S0020268100046680
  17. Rickayzen, B. D. and Walsh, D. E. P. (2000). A Model for Projecting the Number of People Who Will Require Long-Term Care in the Future Part II: The Multiple State Model, Actuarial Research Paper, City University, 125.
  18. Rickayzen, B. D. and Walsh, D. E. P. (2002). A Multi-State Model of Disability for the United Kingdom: Implications for Future Need for Long-Term Care for the Elderly, British Actuarial Journal, 8, 341-393. https://doi.org/10.1017/S1357321700003755
  19. Seo, D. M. (2008). Financial structure and prospects of the Long-Term Care Insurance for the elderly in Korea, The Korean Journal of Health Economics and Policy, 14, 27-56.
  20. Seo, D. M. and Jang, B. W. (2005). A study of estimating the cost of long-term care for the elderly by social insurance model in Korea, Journal of Korean Social Security Association, 21, 161-198.
  21. Statistics of Beneficiary Recipients in Korean public Long-Term Care Insurance (2012). National Health Insurance Service.
  22. Walsh, D. E. P. and Rickayzen, B. D. (2000a). A Model for Projecting the Number of People Who Will Require Long-Term Care in the Future Part I: Data Considerations, Actuarial Research Paper, City University, 123.
  23. Walsh, D. E. P. and Rickayzen, B. D. (2000b). A Model for Projecting the Number of People Who Will Require Long-Term Care in the Future Part III: The Projected Numbers and the Funnel of Doubt, Actuarial Research Paper, City University, 125.
  24. Waters, H. R. (1989). Some aspects of the modelling of permanent health insurance, Journal of Institute of Actuaries, 116, 611-624. https://doi.org/10.1017/S0020268100036726
  25. Yun, H. S. and Kwon, H. J. (2010). Projecting public expenditures for long-term care in Korea, Korean Journal of Health Policy and Administration, 20, 37-63. https://doi.org/10.4332/KJHPA.2010.20.1.037