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How Well Can Medicare Records Identify Seniors with Cognitive Impairment Needing Assistance with Financial Management? 医疗保险记录如何识别需要财务管理帮助的认知障碍老年人?
Pub Date : 2018-10-01 DOI: 10.2139/ssrn.3338016
D. Weir, K. Langa
Aging countries should have an interest in policies to assist older beneficiaries in managing finances when there is a need. This project investigated the value of Medicare records as a guide to identifying persons with cognitive impairment in need of assistance with financial management. It used data from the Health and Retirement Study (HRS) on persons 65 and older, who consented to linkage to Medicare records at a rate of approximately 90 percent. Sampling weights were adjusted to account for linkage rates. The HRS survey data provided direct evidence on cognitive impairment and difficulty managing finances. The Medicare records are an imperfect guide to cognitive impairment as a medical diagnosis. About 40 percent of persons with impairment consistent with dementia are not identified in Medicare, and about 40 percent of persons with a diagnosis in Medicare records do not have impairment that severe. The records are even worse as a guide to who perceives or is perceived by others as needing assistance with financial management. Outside of institutional settings, Medicare records identify fewer than half the people needing assistance with financial management, and point to a substantial number of people who say they do not. The use of Medicare records alone to identify older beneficiaries in need of assistance with financial management would lead to substantial errors in coverage.
老龄化国家应该关注帮助老年受益人在需要时管理财务的政策。该项目调查了医疗保险记录作为识别需要财务管理援助的认知障碍患者的指南的价值。它使用了健康与退休研究(HRS)中65岁及以上的人的数据,这些人同意与医疗保险记录联系在一起的比例约为90%。调整抽样权重以考虑联动率。HRS的调查数据提供了认知障碍和财务管理困难的直接证据。作为一种医学诊断,医疗记录对认知障碍的指导并不完善。大约40%的患有痴呆症的人在医疗保险中没有被发现,大约40%的在医疗保险记录中被诊断的人没有那么严重的损伤。在判断谁认为或被他人认为需要财务管理方面的帮助时,这些记录甚至更糟糕。在机构设置之外,医疗保险记录显示,只有不到一半的人需要财务管理方面的帮助,而且有相当多的人说他们不需要。仅使用医疗保险记录来识别需要财务管理援助的老年受益人将导致覆盖范围的重大错误。
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引用次数: 1
Intergenerational Altruism and Transfers of Time and Money: A Life-Cycle Perspective 代际利他主义与时间和金钱的转移:一个生命周期的视角
Pub Date : 2018-04-01 DOI: 10.2139/ssrn.3216029
Uta Bolt, Eric French, Jamie Hentall-MacCuish, C. O'Dea
Parental investments in children can take one of three broad forms: (1) Time investments during childhood and adolescence that aid child development, and in particular cognitive ability (2) Educational investments that improve school quality and hence educational outcomes (3) Cash investments in the form of inter-vivos transfers and bequests. We develop a dynastic model of household decision making with intergenerational altruism that nests a child production function, incorporates all three of these types of investments, and allows us to quantify their relative importance and estimate the strength of intergenerational altruism. Using British cohort data that follows individuals from birth to retirement, we find that around 40% of differences in average lifetime income by paternal education are explained by ability at age 7, around 40% by subsequent divergence in ability and different educational outcomes, and around 20% by inter-vivos transfers and bequests received so far.
父母对儿童的投资可以有三种形式:(1)儿童和青少年时期的时间投资,有助于儿童发展,特别是认知能力的发展;(2)提高学校质量从而提高教育成果的教育投资;(3)以生前转移和遗赠形式进行的现金投资。我们开发了一个带有代际利他主义的家庭决策的动态模型,该模型包含了一个儿童生产函数,包含了所有这三种类型的投资,并允许我们量化它们的相对重要性,并估计代际利他主义的强度。我们利用跟踪个人从出生到退休的英国队列数据发现,父亲教育造成的平均一生收入差异中,约40%可以用7岁时的能力来解释,约40%可以用随后的能力差异和不同的教育成果来解释,约20%可以用迄今为止收到的生前转移和遗赠来解释。
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引用次数: 7
Exploring the Risks and Consequences of Elder Fraud Victimization: Evidence from the Health and Retirement Study 探索老年欺诈受害的风险和后果:来自健康和退休研究的证据
Pub Date : 2017-12-01 DOI: 10.2139/SSRN.3124952
Marguerite DeLiema, M. Deevy, A. Lusardi, O. Mitchell
This is the first study to use longitudinal data to explore both the antecedents and consequences of fraud victimization in the older population. Because older persons are close to or past the peak of their wealth accumulation, they are often the targets of fraud. This paper reports on analysis of the Leave Behind Questionnaires (LBQs) fielded on Health and Retirement Study (HRS) respondents over three survey waves in 2008, 2010, and 2012. We evaluate the demographic determinants and risk factors of reporting financial fraud victimization in the survey, and explore whether there are demographic subgroups of older victims. In addition, we examine the financial, physical and psychological consequences of fraud. Overall results suggest that there is no single reliable predictor of fraud victimization across all three LBQ samples. When LBQ responses were pooled across survey years, we found that younger, male, better-educated, and depressed persons reported being defrauded significantly more often. Victimization was associated with lower nonhousing wealth in the combined sample controlling for other factors, but had no measurable impact on cognitive, psychological, or physical health outcomes. Future research should examine predictors and outcomes based on the type of financial fraud experienced and the amount of money lost.
这是第一个使用纵向数据来探索老年人欺诈受害的前因和后果的研究。由于老年人的财富积累接近或超过了顶峰,他们往往成为欺诈的目标。本文分析了2008年、2010年和2012年三次健康与退休研究(HRS)受访者的离校问卷(LBQs)。我们在调查中评估了报告金融欺诈受害的人口统计学决定因素和风险因素,并探讨是否存在老年受害者的人口统计学亚群。此外,我们还研究了欺诈的财务、生理和心理后果。总体结果表明,在所有三个LBQ样本中,没有一个可靠的欺诈受害预测因子。当LBQ的回答在调查期间汇总时,我们发现年轻、男性、受教育程度较高和抑郁的人报告被欺骗的频率明显更高。在控制其他因素的综合样本中,受害与较低的非住房财富有关,但对认知、心理或身体健康结果没有可测量的影响。未来的研究应该根据所经历的金融欺诈的类型和损失的金额来检查预测因素和结果。
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引用次数: 13
A Note on Resource Testing and Temptation 关于资源测试和诱惑的注解
Pub Date : 2015-11-01 DOI: 10.2139/ssrn.2802766
C. Kumru, J. Piggott, Athanasios C. Thanopoulos
This study analyzes the relative performance in terms of welfare of the current U.S. PAYG system compared to an array of cost equivalent alternative specifications of means-tested pension programs. We conduct our analysis under two different settings. While in the first setting, individuals have standard preferences, in the second setting individuals have self-control preferences. We show that the implications of the reform substantially differs across the two settings.
本研究分析了当前美国现收现付制度在福利方面的相对表现,并与一系列成本相当的经济状况调查养老金计划的替代规范进行了比较。我们在两种不同的环境下进行分析。在第一种情况下,个体有标准偏好,而在第二种情况下,个体有自我控制偏好。我们表明,在这两种情况下,改革的影响有很大不同。
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引用次数: 1
Understanding Participation in SSI 了解参与SSI
Pub Date : 2015-01-01 DOI: 10.2139/SSRN.2599541
K. Mcgarry, R. Schoeni
The Supplemental Security Income program (SSI) provides a guaranteed income for the elderly. As such it can serve to mitigate any deleterious effects of reductions in Social Security benefits that might result from any Social Security reform. However, participation in SSI among qualified individuals has proven to be low. We show that this low participation rate, just over 50%, observed at the program’s inception has continued to today with little if any change. We also find that transfers from children are far larger among eligible non-participants suggesting that family assistance may offset the need for public assistance.
补充安全收入计划(SSI)为老年人提供有保障的收入。因此,它可以减轻任何社会保障改革可能导致的社会保障福利减少的任何有害影响。然而,在符合条件的个人中,SSI的参与率被证明是低的。我们的研究表明,在项目开始时观察到的这种略高于50%的低参与率一直持续到今天,几乎没有任何变化。我们还发现,在符合条件的非参与者中,来自儿童的转移要大得多,这表明家庭援助可能会抵消对公共援助的需求。
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引用次数: 2
Rejection from the Disability Insurance Program and Dependency on Social Support 被残疾保险拒保和依赖社会支持
Pub Date : 2014-09-01 DOI: 10.2139/ssrn.2509364
Susan E. Chen
Recent studies find that many workers do not return to the labor force after their applications for Disability Insurance (DI) are denied. It is, therefore, important to understand how this group funds their consumption. This paper uses the Survey of Income and Program Participation linked to administrative data to examine the social support participation behavior of rejected applicants. By following cohorts of individuals from 10 years before to 10 years after filing for DI, this paper shows that rejected DI applicants are at most 10 percent more likely to depend on social support programs than healthy workers. More general models show that at the time of application rejected applicants are 25 percent more likely to depend on social support programs than healthy workers. These effects decrease across time, but up to 10 years after filing, rejected DI applicants are still up to 12 percent more likely to depend on social support programs. These are the same levels of social support participation exhibited by DI beneficiaries. While rejecting more DI applicants may reduce DI outlays, these results suggest that rejected applicants are more likely to depend on other federally funded assistance programs to fund their (very) early retirement.
最近的研究发现,许多工人在申请伤残保险(DI)被拒绝后,就不再回到劳动力市场。因此,了解这个群体如何为他们的消费提供资金是很重要的。本文采用与行政数据相关联的收入与项目参与调查来考察被拒申请人的社会支持参与行为。通过跟踪从申请残障补助前10年到申请残障补助后10年的个人队列,本文表明,被拒绝的残障补助申请人依赖社会支持计划的可能性比健康工作者高出至多10%。更一般的模型显示,在申请被拒绝时,申请者依赖社会支持计划的可能性比健康的工人高25%。这些影响随着时间的推移而减少,但在提交申请10年后,被拒绝的残障救济金申请人依赖社会支持计划的可能性仍高出12%。这些是残障保险受益人参与社会支持的相同水平。虽然拒绝更多的残障保险申请人可能会减少残障保险支出,但这些结果表明,被拒绝的申请人更有可能依赖其他联邦资助的援助计划来资助他们(非常)提前退休。
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引用次数: 2
The Insurance Role of Household Labor Supply for Older Workers 家庭劳动力供给对老年职工的保障作用
Pub Date : 2014-09-01 DOI: 10.2139/ssrn.2540649
Yanan Li, Victoria Prowse
In this paper, we explore and compare how older and younger couple house- holds use adjustments in the wife’s labor supply to mitigate the e?ects of negative shocks to the husband’s employment status. Using di?erence-in-di?erences match- ing methods, we document a substantial added worker e?ect for younger house- holds. However, the wives of older men do not increase employment in response to their husbands’ negative employment shocks. Instead, in older households, fe- male unemployment increases. These results are consistent with older women being constrained by the labor market in the extent to which they can adjust their labor supply to mitigate the e?ects of spousal employment shocks. Our ?ndings suggest that spousal labor supply is not an e?ective intra-household insurance device for older households.
在本文中,我们探讨和比较了老年夫妇和年轻夫妇是如何利用调整妻子的劳动力供给来缓解家庭负担的。对丈夫就业状况的负面冲击。使用di erence-in-di ?引用匹配方法,我们记录了大量添加的工人e?适合年轻的家庭。然而,年长男性的妻子并没有增加就业来应对丈夫的负面就业冲击。相反,在老年家庭中,男性失业率上升。这些结果与老年妇女受到劳动力市场限制的程度是一致的,因为她们可以调整自己的劳动力供应来缓解就业压力。配偶就业冲击的影响。我们的研究结果表明,配偶劳动力供给并不是一个决定性因素。为老年家庭提供有效的家庭内部保险。
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引用次数: 1
Have We Finally Achieved Actuarial Fairness of Social Security Retirement Benefits and Will it Last? 我们最终实现了社会保障退休福利的精算公平吗?这种公平会持续下去吗?
Pub Date : 2014-04-01 DOI: 10.2139/ssrn.2523899
Frank W Heiland, N. Yin
This paper develops a framework to analyze the actuarial adjustments faced by American workers who claim Social Security benefits before or after their Full Retirement Age (FRA). We derive the conditions under which these adjustments are “actuarially fair” (or “neutral”) and develop measures to characterize the devi- ation from the fair form. Fair adjustment schedules are increasing at an increasing rate in take-up age and become flatter as longevity rises. We document that the actuarial fit has improved across generations. Our baseline 3% discount rate scenario estimates that the current schedule deviates from its fair form by less than 1% for average-mortality beneficiaries, compared to 5.1% and 4.0% for male and female beneficiaries in 1980, respectively. The improvement is largely due to the increases in the Delayed Retirement Credit. For men, gains in life expectancy combined with the increase in the FRA also contributed to the improved fit. We predict that the designated increase in the FRA to age 67 will have little effect on the actuarial fit. We investi- gate schedules reflecting (further) increases in the retirement ages, as recommended by the President’s 2010 Fiscal Commission, and propose alternatives. We also discuss results from the analysis of the adjustments to spousal and widow(er) benefits.
本文开发了一个框架来分析在完全退休年龄(FRA)之前或之后申请社会保障福利的美国工人所面临的精算调整。我们推导出这些调整是“精算公平”(或“中性”)的条件,并制定措施来描述偏离公允形式的特征。随着年龄的增长,公平调整时间表正以越来越快的速度增加,并随着寿命的延长而变得更加平坦。我们的文件表明,精算契合度在几代人之间有所改善。我们的基准3%贴现率情景估计,对于平均死亡率受益人,当前计划与公平形式的偏差小于1%,而1980年男性和女性受益人的偏差分别为5.1%和4.0%。这种改善主要是由于延迟退休抵免的增加。对于男性来说,预期寿命的延长和FRA的增加也有助于改善健康状况。我们预测,指定增加到67岁的FRA对精算匹配的影响很小。根据总统2010年财政委员会的建议,我们研究了反映退休年龄(进一步)提高的时间表,并提出了替代方案。我们还讨论了配偶和寡妇(er)福利调整分析的结果。
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引用次数: 13
Technological Progress and the Earnings of Older Workers 技术进步和老年工人的收入
Pub Date : 2013-10-01 DOI: 10.2139/ssrn.2376418
Y. Gorodnichenko, J. Laitner, Jae Song, Dmitriy Stolyarov
Economists’ standard model assumes that improvements in total factor productivity (TFP) raise the marginal product of labor for all workers evenly. This paper uses an earnings dynamics regression model to study whether, in practice, older workers benefit less from TFP growth than younger workers. We utilize panel earnings data from the Social Security Administration’s Continuous Work History Sample. The data include workers of all ages, and we use annual figures for 1950-2004. Our first specification relies on BLS measurements of TFP. Our second model develops a new TFP measure using a principal components analysis. We find that although the earnings of younger workers track TFP growth 1-for-1, the earnings of older workers do not: we find, for example, that a 60-year-old male’s earnings grow only 85-90% as fast as TFP. Nevertheless, our analysis implies that in an economy with an aging labor force, gains from experience tend to outweigh older workers’ inability to benefit fully from TFP improvements.
经济学家的标准模型假设全要素生产率(TFP)的提高会平均提高所有工人的劳动边际产量。本文使用收益动态回归模型来研究在实践中,老年工人是否比年轻工人从TFP增长中受益更少。我们使用来自社会保障局连续工作历史样本的面板收入数据。这些数据包括所有年龄段的工人,我们使用的是1950年至2004年的年度数据。我们的第一个规范依赖于劳工统计局对TFP的测量。我们的第二个模型使用主成分分析开发了一个新的TFP度量。我们发现,尽管年轻工人的收入与全要素生产率的增长呈1:1的关系,但年长工人的收入却并非如此:例如,我们发现,60岁男性的收入增长速度仅为全要素生产率的85-90%。然而,我们的分析表明,在一个劳动力老龄化的经济体中,经验的收益往往超过老年工人无法从TFP的改善中充分受益。
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引用次数: 0
Labor Force Transitions at Older Ages: The Roles of Work Environment and Personality 老年劳动力转移:工作环境和个性的作用
Pub Date : 2013-09-30 DOI: 10.2139/ssrn.2376506
M. Angrisani, M. Hurd, Erik Meijer, Andrew M. Parker, S. Rohwedder
Besides compensation and financial incentives, several other work-related factors may affect individual retirement decisions. Specifically, job characteristics such as autonomy, skill variety, task significance and difficulty, stress and physical demands, peer pressure and relations with co-workers, play a crucial role in determining psychological commitment to work at older ages. While financial preparedness for retirement and health shocks are often cited as main predictors of the choice to exit the labor force, there exists relatively little research documenting the extent to which the work environment itself and its interaction with economic variables influence retirement decisions. We document that job characteristics are associated with labor force transitions at older ages, in particular transitions to retirement and part-time employment. Additionally, we show that while personality traits do not directly drive labor force transitions, the effect of job characteristics on labor supply outcomes varies with the “intensity” of personality traits. We also document that job characteristics themselves are strongly related to personality traits. This suggests that, depending on their personality, individuals may select into specific jobs, whose characteristics ultimately shape their retirement paths.
除了薪酬和经济激励外,其他一些与工作有关的因素也可能影响个人的退休决定。具体来说,工作特征,如自主性、技能多样性、任务重要性和难度、压力和身体需求、同伴压力以及与同事的关系,在决定老年人对工作的心理承诺方面起着至关重要的作用。虽然对退休的财务准备和健康冲击经常被认为是选择退出劳动力的主要预测因素,但很少有研究记录工作环境本身及其与经济变量的相互作用在多大程度上影响退休决定。我们证明,工作特征与老年劳动力的过渡有关,特别是向退休和兼职工作的过渡。此外,我们发现虽然人格特质并不直接驱动劳动力转移,但工作特质对劳动力供给结果的影响随人格特质的“强度”而变化。我们也证明了工作特征本身与人格特征密切相关。这表明,根据个人的性格,他们可能会选择特定的工作,而这些工作的特点最终会决定他们的退休道路。
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引用次数: 15
期刊
University of Michigan Retirement Research Center Research Paper Series
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