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Financing Long Term Services And Supports
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Book Synopsis Financing long-term services and supports by : Joshua Wiener
Download or read book Financing long-term services and supports written by Joshua Wiener and published by RTI Press. This book was released on 2017-09-12 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: This article provides an overview of financing for long-term services and supports (LTSS) in the United States, paying special attention to how it has changed and not changed over the last 30 years. Although LTSS expenditures have increased greatly (like the rest of health care), the broad outline of the financing system has remained remarkably constant. Medicaid—a means-tested program—continues to dominate LTSS financing, while private long-term care insurance plays a minor role. High out-of-pocket costs and spend-down to Medicaid because of those high costs continue to be hallmarks of the system. Although many major LTSS financing reform proposals were introduced over this period, none was enacted—except the Community Living Assistance Services and Supports Act, which was repealed before implementation because of concerns about adverse selection. The one major change during this time period has been the very large increase in Medicare spending for post-acute services, such as short-term skilled nursing facility and home health care. With the aging of the population, demand for LTSS is likely to increase, placing strain on the existing system.
Book Synopsis Financing Long-term Services and Supports by : Joshua M. Wiener
Download or read book Financing Long-term Services and Supports written by Joshua M. Wiener and published by . This book was released on 2017 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: This article provides an overview of financing for long-term services and supports (LTSS) in the United States, paying special attention to how it has changed and not changed over the last 30 years. Although LTSS expenditures have increased greatly (like the rest of health care), the broad outline of the financing system has remained remarkably constant. Medicaid--a means-tested program--continues to dominate LTSS financing, while private long-term care insurance plays a minor role. High out-of-pocket costs and spend-down to Medicaid because of those high costs continue to be hallmarks of the system. Although many major LTSS financing reform proposals were introduced over this period, none was enacted--except the Community Living Assistance Services and Supports Act, which was repealed before implementation because of concerns about adverse selection. The one major change during this time period has been the very large increase in Medicare spending for post-acute services, such as short-term skilled nursing facility and home health care. With the aging of the population, demand for LTSS is likely to increase, placing strain on the existing system.
Book Synopsis Improving the System of Financing Long-Term Services and Supports for Older Americans by : Ross Marchand
Download or read book Improving the System of Financing Long-Term Services and Supports for Older Americans written by Ross Marchand and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid currently pays for most of the long-term services and supports (LTSS) given to older Americans. With the aging of the population, these costs to state and federal governments will increase rapidly. We summarize the current Medicaid eligibility rules, which are commonly portrayed as allowing access only to low-income and low-asset populations, but in reality they allow covered households to own significant housing and retirement assets. Furthermore, we present new empirical information about the weak efforts of states in enforcing even the current porous rules. We then report on the extensive asset holdings, especially in housing and retirement assets, across the distribution of retired households. We find that liberal eligibility rules and uneven enforcement increase the costs of governments and discourage the retired households that can afford it from covering LTSS exposure through private insurance and assets. We conclude with targeted recommendations to reform Medicaid and improve the LTSS financing system, following up on some of the proposals made by members of the 2013 federal Commission on Long-Term Care.
Author :Forum on Aging, Disability, and Independence Publisher :National Academies Press ISBN 13 :9780309294065 Total Pages :0 pages Book Rating :4.2/5 (94 download)
Book Synopsis Financing Long-Term Services and Supports for Individuals with Disabilities and Older Adults by : Forum on Aging, Disability, and Independence
Download or read book Financing Long-Term Services and Supports for Individuals with Disabilities and Older Adults written by Forum on Aging, Disability, and Independence and published by National Academies Press. This book was released on 2014-05-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Financing Long-Term Services and Supports for Individuals with Disabilities and Older Adults is the summary of a workshop convened in June 2013 by the Forum on Aging, Disability, and Independence of the Institute of Medicine and the National Research Council to examine the financing of long-term services and supports for working-age individuals with disabilities and among individuals who are developing disabilities as they age. The workshop covered both older adults who acquire disabilities and younger adults with disabilities who may acquire additional impairments as they age, the target population of the Forum's work. The challenges associated with financing long-term services and supports for people with disabilities impacts all age groups. While there are important differences between the characteristics of programs developed for different age groups, and specific populations may have different needs, this workshop addressed the financing sources for long-term services and supports in general, noting specific differences as appropriate. The financing of long-term services and supports has become a major issue in the United States. These are the services and supports that individuals with disabilities, chronic conditions, and functional impairments need in order to live independently, such as assistance with eating, bathing, and dressing. Long-term services and supports do not include the medical or nursing services required to manage health conditions that may be responsible for a disabling condition. At least 11 million adults ages 18 and over receive long-term services and supports. Only a little more than half of them - 57 percent - are ages 65 or older. One study found that about 6 percent of people turning 65 in 2005 could expect to have expenses of more than $100,000 for long-term services and supports. Financing Long-Term Services and Supports for Individuals with Disabilities and Older Adults discusses the scope and trends of current sources of financing for long-term services and supports for working-age individuals with disabilities and older adults aging into disability, including income supports and personal savings. This report considers the role of families, business, and government in financing long-term services and supports and discusses implications of and opportunities for current and innovative approaches.
Book Synopsis Improving the Quality of Long-Term Care by : Institute of Medicine
Download or read book Improving the Quality of Long-Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Book Synopsis Financing Long-Term Care in Europe by : J. Costa-Font
Download or read book Financing Long-Term Care in Europe written by J. Costa-Font and published by Springer. This book was released on 2011-11-08 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Forecasts predict that those in need of long-term care in Europe will double in the next 50 years. This book offers a full understanding of the institutional responses and mechanisms in place to finance old age and provides analysis of demand and supply factors underpinning the development of financial instruments to cover long-term care in Europe.
Author :National Center for Health Statistics Publisher :Government Printing Office ISBN 13 :9780160922619 Total Pages :108 pages Book Rating :4.9/5 (226 download)
Book Synopsis Long Term Care Services in the United States: 2013 Overview by : National Center for Health Statistics
Download or read book Long Term Care Services in the United States: 2013 Overview written by National Center for Health Statistics and published by Government Printing Office. This book was released on 2014-03 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Long-term care services include a broad range of services that meet the needs of frail older people and other adults with functional limitations. Long-Term care services provided by paid, regulated providers are a significant component of personal health care spending in the United States. This report presents descriptive results from the first wave of the National Study of Long-Term Care Providers (NSLTCP), which was conducted by the Centers for Disease Control and Preventions National Center for Health Statistics (NCHS). This report provides information on the supply, organizational characteristics, staffing, and services offered by providers of long-term care services; and the demographic, health, and functional composition of users of these services. Service users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers.
Book Synopsis Financing Long Term Care in Texas by : H. Clyde Farrell
Download or read book Financing Long Term Care in Texas written by H. Clyde Farrell and published by . This book was released on 2000 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Long-term care financing: lessons for low- and middle-income settings. Brief 4. Determining the long-term care services covered in the benefits package by : World Health Organization
Download or read book Long-term care financing: lessons for low- and middle-income settings. Brief 4. Determining the long-term care services covered in the benefits package written by World Health Organization and published by World Health Organization. This book was released on 2024-03-13 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Financing and Delivery of Long-term Care Services for the Elderly by : Carol O'Shaughnessy
Download or read book Financing and Delivery of Long-term Care Services for the Elderly written by Carol O'Shaughnessy and published by . This book was released on 1988 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Study of Public Long-term Care Financing by : Sharon K. Patten
Download or read book A Study of Public Long-term Care Financing written by Sharon K. Patten and published by . This book was released on 1987 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Financing Long-Term Care After Health Care Reform by : Richard L. Kaplan
Download or read book Financing Long-Term Care After Health Care Reform written by Richard L. Kaplan and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the many features of the 2010 health care legislation is a new entitlement program to fund long-term care called Community Living Assistance Services and Supports, or CLASS. Beginning possibly as early as January 2011, employees of participating employers will be automatically enrolled in CLASS's payroll-reduction plan and will become eligible for benefits after five years of continuous enrollment. These benefits will be calibrated by an enrollee's degree of impairment and may be applied to the full range of long-term care services, from paying relatives for family-provided care and modifying a personal residence to funding adult day care, assisted living facilities, and nursing homes. These benefits are provided as long as the recipient qualifies for them, without any limit as to duration or total dollars expended. This article examines the CLASS program and compares its various features to currently available long-term care insurance policies, focusing on benefit eligibility, enrollment procedures, scope of benefits, ease of acquisition, program solvency, premium stability, and other programmatic features as well.
Book Synopsis Financing Long-term Care in the Twenty-first Century by : Mark Merlis
Download or read book Financing Long-term Care in the Twenty-first Century written by Mark Merlis and published by . This book was released on 1999 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Planning Ahead by : United States. Congress. Senate. Special Committee on Aging
Download or read book Planning Ahead written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 1995 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Social Insurance written by Lee Goldberg and published by . This book was released on 2013 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: America is graying - fast. Although much attention has been paid to baby boomers who are qualifying for Medicare at the rate of 10,000 a day, the most rapidly growing segment of the population is individuals over the age of 85, who have significantly higher rates of disability. As the median age of the population increases over the next two decades, the demand for long-term services and supports (LTSS) is expected to increase sharply. Yet, only a small percentage of the population that will need nursing or home care has coverage ahead of time through either a private plan or a public program. This paper lays out options for using social insurance programs as a base for expanding coverage for LTSS, and the different ways this could be financed.
Book Synopsis Serious and Unstable Condition by : Henry Aaron
Download or read book Serious and Unstable Condition written by Henry Aaron and published by Brookings Institution Press. This book was released on 2010-12-01 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States spends more on health care than any other nation in the world, yet millions of Americans cannot afford basic care for acute illnesses, few are insured against the costs of long-term care, and many frequently used medical procedures have never been fully evaluated. The goals of controlling spiraling health care costs and extending insurance coverage or even maintaining current insurance coverage seem to be in conflict. But progress can be made on both goals if they are tacked together. Henry Aaron evaluates these critical issues and explores how adequate care can be provided without fueling inflation. Because the current arrangements for financing America's health care cannot endure, Aaron contends that a major national debate on the restructuring of the U.S. system of financing health care is inescapable, and major legislation is likely. Serious and Unstable Condition offers a guide that is crucial to understanding the reform debate. It explains the important economic issues of health care as a background for evaluating both the current system and proposals for change. Aaron compares the U.S. system of health care financing with certain foreign systems and reviews major options for reform. He cautions that unless the health insurance system is radically changed, the number of uninsured will continue to increase and costs will continue to escalate. He then offers his own comprehensive plan to address these problems.
Book Synopsis OECD Health Policy Studies Help Wanted? Providing and Paying for Long-Term Care by : Colombo Francesca
Download or read book OECD Health Policy Studies Help Wanted? Providing and Paying for Long-Term Care written by Colombo Francesca and published by OECD Publishing. This book was released on 2011-05-18 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the challenges countries are facing with regard to providing and paying for long-term care.
