While there is no chance the federal government will enact long-term care financing reform any time soon, several states are busy developing public insurance programs of their own. These initiatives could be a critical step as the nation wrestles with how to pay for personal care for older adults and others with disabilities or chronic disease. Washington State is refining [...]
Rep Tom Suozzi (D-NY) has introduced a bill to create a public, catastrophic, long-term care insurance program. The monthly cash benefit, initially about $3,600 and indexed for inflation, would be funded with a modest increase in the payroll tax of 0.3 percent for workers and 0.3 percent for employers, or roughly $300-a-year for a median wage worker. For many older [...]
Federal and state policymakers increasingly are interested in creating a public social insurance program for long-term care in the US. Even some Democratic presidential hopefuls have raised the issue, though still only in general terms. That growing interest is great news, and long past due. But what should such a model look like? Designers face a handful of critical high-level [...]
The Trump Administration is (very quietly) looking at ways to reinvigorate the flagging private long-term care (LTC) insurance market. The recommendations are expected to surface later this year. And they likely will be very modest. The ideas being considered would make some regulatory changes and create new tax subsidies to encourage consumers to purchase private LTC insurance. They would send [...]
Washington Governor Jay Inslee has signed into law the nation’s first public state-operated long-term care insurance program. The Long-Term Care Trust Act will pay benefits of up to $36,500 for those who need assistance with regular daily activities such as eating, bathing, or help with medications. The benefits initially will be funded with a payroll tax of 0.58 percent on [...]
Recent articles in the journal Health Affairs attempted to attach numbers to a problem that millions of American families are intimately aware of: Many middle-income older adults cannot afford to pay their out-of-pocket costs for health care and senior housing. And the problem is going to get worse once the Baby Boomers begin to hit their late 70s and early [...]
A first-in-the-nation state long-term care insurance program is likely to become law within a few weeks. In Washington State, both houses of the legislature have approved the measure, though they must resolve relatively minor differences between the two bills. Gov. Jay Inslee has promised to sign it. Washington would be the first state in the US to enact a public [...]
Would you buy a term life insurance policy that automatically converts to long-term care coverage once you reach retirement age? How about paying a modest additional premium to add some home care benefits to your Medicare Supplemental (Medigap) insurance or your Medicare Advantage plan? Minnesota, a state that has been a leader in long-term care delivery reform, may soon experiment [...]
Representative Frank Pallone (D-NJ), the senior Democrat on the House Energy and Commerce Committee, is proposing a new universal Medicare long-term care benefit. His bill, still in draft form, initially would provide a daily cash benefit of about $100 after a two-year waiting period. As an alternative to the waiting period, Pallone is also considering a cash deductible that would [...]
Two years ago, the Long-Term Care Financing Collaborative proposed a public catastrophic long-term care insurance program. In effect, people would use private insurance, savings, or home equity to pay for the first few years of their care needs, then the government would pick up costs for people with true catastrophic needs. Today, two highly-respected long-term care experts offered an important [...]