Bipartisan group proposes major long-term care reforms
After 3 years of work by a diverse group of policy experts to create a consensus framework for the way long-term care is financed and delivered in the U.S., the Long-Term Care Financing Collaborative this week announced recommendations built around two major reforms: A new universal catastrophic LTCI insurance program and major improvements to Medicaid’s long-term supports and services (LTSS) benefit.
In its report released Feb. 22, the Collaborative recommends a broad package of reforms aimed at empowering people of all incomes to receive high-quality long-term services and supports. The group includes former state Medicaid directors, members from the Brookings Institution, America's Health Insurance Plans (AHIP) and more.
“Washington conventional wisdom says it is impossible to find a policy solution to the challenges of long-term care financing. The Collaborative showed the conventional wisdom is wrong. People from across the political spectrum with broadly diverse interests did find a workable, consensus resolution to this important problem,” says Howard Gleckman, senior fellow of The Urban Institute and one of the Collaborative’s founders.
• Thoughts or comments? Please visit this new thread: Group Advocates for Major U.S. LTCI Reform
“This work represents a true collaboration of ideas resulting in thoughtful recommendations on how to solve our nation’s long-term care financing problem,” adds AHIP’s Susan Coronel. “As this dialogue moves forward, it is critical that funding proposals account for combined partnerships that demonstrate cost savings for individuals and states. A sustainable solution is best achieved through harnessing the combined strengths of government, insurers and caregivers, to ensure the millions who depend on long-term care have access to the services they need.”
Specifically, the Collaborative proposes:
• Clear private and public roles for long-term care financing.
• A new universal catastrophic long-term care insurance program. This would shift today’s welfare-based system to an insurance model.
• Redefining Medicaid LTSS to empower greater autonomy and choice in services and settings.
• Encouraging private long-term care insurance initiatives to lower cost and increase enrollment.
• Increasing retirement savings and improving public education on long-term care costs and needs.
Next page: reasoning behind the catastrophic insurance concept
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