The Future of Long-Term Care: What Is Its Place in the Health Reform Debate? Howard Gleckman Tax Policy Center June 16, 2009.

Slides:



Advertisements
Similar presentations
More Security and Stability If You Have Health Insurance, the Obama Plan: Ends discrimination against people with pre-existing conditions. Limits premium.
Advertisements

Greater Cleveland Congregations – June 23, 2011 Health Care – Federal, State, and Local Problems By Gary Benjamin.
Health Care in Obama’s 1st Year: More of the Same is not Reform – It’s a Placebo Leonard Rodberg, PhD Urban Studies Dept., Queens College/CUNY and NY Metro.
DataBrief: Did you know… DataBrief Series ● February 2011 ● No. 13 Sources of Long- Term Care Spending Of the $264 billion that the United States spent.
Avalere Health LLC | The intersection of business strategy and public policy Long-Term Care Financing Reform: A Federal and Private Insurance Partnership.
Policy Proposals Health Care Coverage, Costs, and Financing.
Massachusetts Long-term Care Financing Advisory Committee Public Input Session - Shrewsbury February 19, 2010.
Housing and Health Care Programs and Financing that Integrate Health Care and Housing Housing California Institute April 15, 2014 John Shen Long-Term Care.
Government and Health Care Roughly 15 cents of every dollar spent in US is on health care US health care spending equaled $5841 per person in 2002 Governments.
MEDICARE: PAST, PRESENT AND FUTURE James G. Anderson, Ph.D. Department of Sociology & Anthropology.
MEDICARE: PAST, PRESENT AND F UTURE James G. Anderson, Ph.D. Department of Sociology & Anthropology.
SoonerCare and National Health Care Reform Oklahoma Health Care Authority Board Retreat August 26, 2010 Chad Shearer Senior Program Officer Center for.
Government and Health Care Roughly 15 cents of every dollar spent in US is on health care US health care spending equaled $5841 per person in 2002 Governments.
HEALTH INSURANCE REFORM: HIGHLIGHTS OF MERGED SENATE DEMOCRATIC BILL.
The Tattered Safety Net James G. Anderson, Ph.D. Purdue University.
Health Care Reform in California Steven P. Wallace, Ph.D. UCLA Center for Health Policy Research & UCLA School of Public Health UCLA Center for Health.
The Tattered Safety Net James G. Anderson, Ph.D. Purdue University.
International Health Care Systems Kao-Ping Chua Jack Rutledge Fellow, American Medical Student Association.
The Social Welfare Policy. What is Social Welfare? A means by which the government provides assistance to those suffering from hardships  Ex: old age,
PLANNING FOR LONG TERM CARE. LONG TERM CARE A specialized care delivery system for persons with chronic illness or advanced ageing who need assistance.
Health Care Reform Quynh Smith. Sources of Inefficiency in the Health Care Delivery System   We spend a substantial amount on high cost, low-value treatments.
Obama Administration Outline/Proposal Broad Outline Only Would retain employer based health insurance system Includes a “play or pay” model Creates a.
GOVERNMENT AND THE MARKET FOR HEALTH CARE Chapter 10.
“Improved Medicare For All” for Beginners (Part A)
Strategic Solutions for Health Care Reform National Association of Health and Educational Facilities Finance Authorities March 23, 2010.
Age and Disabilities Odyssey June 20, 2011 Is The CLASS Act The Answer to Long-Term Care Financing?
Understanding Health Reform CHOICE Regional Health Network.
Health Care Reform in America Facing Up:. President Obama and Healthcare Reform “Health care reform is no longer just a moral imperative, it’s a fiscal.
Stock Market Analysis and Personal Finance Mr. Bernstein Disability and Life Insurance, pp June 15, 2015.
Overview of Health Reform Community Memorial Foundation John Bouman Sargent Shriver National Center on Poverty Law May 6,
A Presentation of the Colorado Health Institute 1576 Sherman Street, Suite 300 Denver, Colorado Hot Issues in.
Policy Changes for Older Persons. Elderly Status in 1960 Little interest in expansion of programs for aged after initial passage of SS Act in 1935 First.
Susan A. Coronel LTC Director America’s Health Insurance Plans What is LTC Insurance and Where is the Market Headed?
Medicare, Medicaid, and Health Care Reform Todd Gilmer, PhD Professor of Health Policy and Economics Department of Family and Preventive Medicine 1.
Terence Ng MA, Charlene Harrington, PhD Department of Social & Behavioral Sciences University of California, San Francisco 3333 California Street, Suite.
Close the Gap Idaho Healthcare coverage options for low-income and uninsured adults Richard Armstrong Director Department of Health & Welfare August 21,
K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 0 Robin Rudowitz Associate Director Kaiser Commission on Medicaid and the Uninsured.
The Patient Protection & Affordable Coverage Act of 2010 as Amended (by the Health Care and Education Affordability Reconciliation Act) How Its Provisions.
What is Long Term Care? Kathleen King VP for Health Policy February 20, 2004.
1 Health Reform Key Issues, Concerns and Opportunities for MIGs and Medicaid.
The Great Healthcare Debate Presentation made by: Alex Garcia, Carlo Torres, Edgar Castillo, Gricelda Vera, Lorena Arroyo, and Margarito Rofledo.
CENTERS for MEDICARE & MEDICAID SERVICES Tom Scully CMS Administrator.
Reforming Health Care: Making Sense of Health Care Finance amid Growing Underinsurance Leonard Rodberg, PhD Urban Studies Dept., Queens College/CUNY Prepared.
LONG TERM CARE Financing Long Term Care. THE NEED FOR LONG-TERM CARE SERVICES IN THIS COUNTRY IS EXPECTED TO INCREASE DRAMATICALLY.
Health Reform 2014 Bill Graham VP, Policy & Government Affairs August 17, 2010.
Dennis & Patten Participation in Government Mepham High School Health Care Reform in America.
Chapter 27: Global Models of Health Care. Learning Objectives Compare the aging policies of Japan, Germany, England, and Canada with those of the United.
Domestic Policy Designing Policy for Domestic Problems.
Medicaid Lecture 15A Medicaid Established in 1965 along with Medicare Medicaid is a federal and state program that helps low income and disabled individuals.
The Generations Project Working to inform, educate, organize, and offer creative solutions to rebalance Indiana’s long term care system Established in.
Figure ES-1. Features of Leading Candidates’ Approaches to Health Care Reform ClintonEdwardsObamaGiulianiHuckabeeMcCainRomney Individual Mandate Yes Children.
Healing Our Broken Healthcare System Why nurses support a single-payer plan.
THE BUDGET… Every year, the President and Congress must appropriate funds Budget – a policy document allocating burdens (taxes) and benefits (expenditures)
Health Care Reform (Medicare and Medicaid) Emily Ray Period 7.
Health Reform: An Overview Unit 4 Seminar. The Decision The opinions spanned 193 pages, upholding the individual insurance mandate while reflecting a.
Health System Financing 1 |1 | Designing Health Financing System to Achieve Universal Coverage Ke Xu Health Systems Financing World Health Organization.
Health Care Reform IT’S COMPLEX! Jeffery Thompson, MD MPH Chief Medical Officer Washington State Medicaid.
Insurance Shops Disability Income Insurance. Most People Insure Automobile $60K $60KHome $300K $300K.
Chapter 27: Global Models of Health Care
Achieving Universal Health Coverage Solutions from Home and Abroad Issue Brief available at:
Domestic Policy Policy that affects Americans in America Bell Ringer: What basic things should all Americans have?
HEALTH CARE IS THE DIAGNOSIS,TREATMENT AND PREVENTION OF DISEASE,ILLNESS, INJURY AND OTHER PHYSICAL AND MENTAL IMPAIRMENTS IN HUMAN BEINGS.
HEALTH CARE POLICY.
Straight Talk for Seniors: How Will Health Care Reform Change Your Health Care? June 2013.
GOVERNMENT AND THE MARKET FOR HEALTH CARE
Long Term Care Protection Strategies
Presentation transcript:

The Future of Long-Term Care: What Is Its Place in the Health Reform Debate? Howard Gleckman Tax Policy Center June 16, 2009

Remember: This is About People

The Challenge Deliver the most appropriate care to a highly vulnerable population Design a financing system to support this care without busting the budget Make it work for today’s frail elderly and disabled—and for 77 million Boomers

What Is Long-Term Care? Personal Care for disabled and frail elderly 10 million need it 85% is delivered in the community We spend $230 billion for paid care And $375 Billion for informal “free” care Free= financial, emotional, physical burdens

WHO PAYS?

Medicaid A Vast improvement over pre-1965 Provides benefits for the low-income elderly and disabled Targets assistance to those in society who most need it

BUT… You Pay ‘til you’re broke, then Medicaid Wide variation in benefits by state In the bulls eye in economic downturns Obligated for SNF care only Home care is optional Underfunded, limited benefits, long waiting lists

Stein’s law

Everyone Into the (Risk) Pool Private Long-Term Care Insurance Valuable estate planning tool for some Not a policy solution

Why? Too Expensive Too complicated Why buy if you’ve got Medicaid?

The Real Crisis of the Uninsured Health Insurance: 250 million covered LTC insurance: 7 million covered

SOLUTIONS DELIVERY ….BUT HOW? FINANCING:TIME FOR A MANDATE?

DELIVERY COORDINATE CARE MAKE IT AVAILABLE AT HOME Infrastructure: Not just personal aides, also housing, transportation, food, good medical care But don’t break the bank

FINANCE DO WE REALLY NEED MEDICAID? THREE ALTERNATIVES: ENHANCE PRIVATE LTCi CREATE NEW SOCIAL INSURANCE PUBLIC/PRIVATE MIX

ENHANCED LTCi Sell like Medigap Expand tax incentives Expand Partnership Program More Government Marketing EACH MAY HELP, NOT THE ANSWER

Social insurance International Model: France, Germany, Japan, Korea Nearly everyone but the UK & US

Medicare Part E HOW DO YOU TAX? Income tax surcharge (Burman/Johnson) Payroll tax surcharge (ala Germany) VAT—probably with health reform BUT…WILL AMERICANS PAY A NEW TAX?

Public/Private Government as First Payer (CLASS Act) Government as Secondary/Catastrophic: Galston; Tumlinson & Lambrew; Bishop

CLASS Act In the HELP bill Benefit: Cash, $50+ daily for life Auto enroll w/ an opt-out A premium, not a tax $65, or is it? Plus Private Insurance

Catastrophic Personal responsibility w/ low-income subsidy True catastrophic coverage Mandatory insurance or savings?

MODELS FOR FINANCING REFORM

If not now, when? HELP bill Will include CLASS Act, home care, workforce Workforce will pass, limited support for others Waiting for Obama

Feedback: Privacy Policy Feedback
Do Not Sell My Personal Information
About project: SlidePlayer Terms of Service

© 2024 SlidePlayer.com Inc. All rights reserved.