Quotation Bilger, Marcel, WAN CHEN, KANG GRAHAM. 2017. Financing Long-Term Services and Supports: Ideas From Singapore. The Milbank Quarterly. 95 (2), 358-407.




Policy Points: In Singapore, long‐term services and supports (LTSS) are financed through a mix of public and private sources comprising tiered means‐tested public subsidies and government grants to care providers, charitable donations, voluntary long‐term care insurance, and other private resources. Singapore's high take‐up rate of voluntary long‐term care insurance is explained by plans offering partial coverage, medical underwriting, early automatic enrollment, direct debit of insurance premiums, and defined cash benefits. Singapore's experience in long‐term care financing is relevant to the US debate, as it provides policy ideas that may be transferable to the American context. We recommend maximizing the population's total contribution to voluntary long‐term care insurance by striking the right balance between coverage adequacy and take‐up rate while targeting subsidies to low‐income individuals.


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Publication's profile

Status of publication Published
Affiliation External
Type of publication Journal article
Journal Milbank Quarterly
Citation Index SCI
Language English
Title Financing Long-Term Services and Supports: Ideas From Singapore
Volume 95
Number 2
Year 2017
Page from 358
Page to 407
Reviewed? Y
DOI http://dx.doi.org/10.1111/1468-0009.12264
Open Access Y
Open Access Link https://onlinelibrary.wiley.com/doi/full/10.1111/1468-0009.12264


Bilger, Marcel (Details)
WAN CHEN, KANG GRAHAM (Duke-NUS Medical School, Singapore)
Health Economics and Policy Group AB (Details)
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