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Long-Term Care

Thursday, September 5, 2013

Open Letter to the Long Term Care Commission

John Cutler
Senior Policy Analyst, US Office of Personnel Management, The views expressed are my own and not in any official capacity

Bruce Chernof, Chair
Mark Warshawsky Co-Chair

September 2013

Dear Bruce and Mark and Members of the Commission:

Congratulations on an outstanding job in a short amount of time.  I’m one of those people who think it will work out well in the end since I’m not sure more time would allow you to solve the political difficulties of getting to consensus in the current environment.  Only when Congress views it as necessary to “own” this issue will there be substantial movement even though many things can be done by the Administration on its own if shown the way.

Having said that, there are many ideas you can throw out to them to hopefully get some small efforts moving forward.

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Posted on September 5, 2013  |  Write the first comment
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Wednesday, March 20, 2013

Experts Present Options for Redesigning and Financing America’s Long-Term Care System

by National Academy of Social Insurance

Social Insurance is a Critical Base for Achieving Universality and Efficiency

Hundreds of long-term care (LTC) experts gathered in Washington, D.C. today at The SCAN Foundation briefing to discuss private and public options for delivering and financing long-term care to the 12 million Americans who currently need it and the 27 million people expected to need it by 2050.

The discussion comes at a critical time. Congress recently approved the formation of a bipartisan commission on long-term care, tasked with making recommendations on meeting the nation’s needs for affordable long-term care services and support. Direct spending in the United States for long-term care services was $211 billion in 2011, with Medicaid picking up more than 62 percent of the tab. 

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Wednesday, February 6, 2013

Time to Help States Make Lemonade on Issue of Long-Term Care?

The nation has no viable strategy to help people finance their long-term care

Lee Goldberg, National Academy of Social Insurance

A version of this article originally appeared in Roll Call on February 4, 2013.

The enactment of the American Taxpayer Relief Act of 2012 averted the so-called fiscal cliff, but it also repealed the Community Living Assistance Services and Supports Act that was intended to create a public mechanism to help people pay for long-term services and supports if they become disabled.

The repeal was not a surprise. More than a year ago the administration abandoned plans to implement CLASS after it became clear that premiums for the program as designed — with participation to be voluntary rather than mandatory — would be too high to attract more than a tiny percentage of the population.

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Posted on February 6, 2013  |  2 comments  |  Add your comment
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Wednesday, October 26, 2011

Lessons from the Likely Demise of CLASS

Lee Goldberg, National Academy of Social Insurance

Lee GoldbergOn October 14, the Obama administration halted implementation of the new federal long-term care insurance program – the Community Living Assistance Services and Supports (CLASS) initiative, which had been tucked into health care reform legislation. It is disappointing, but not surprising that the administration was unable to design a financially self-sustaining, voluntary long-term care insurance program. The unusual legislative journey of the Patient Protection and Affordable Care Act, which had no House-Senate conference to clean up the bill, left CLASS with statutory limits that proved unworkable. Without mandatory participation or some other way of achieving near universal participation, the program did not stand a chance.

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Posted on October 26, 2011  |  3 comments  |  Add your comment
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Tuesday, October 11, 2011

A Midsummer Policy Sonnet

Erik Shive, Former Intern, National Academy of Social Insurance

The piece was written in August 2011 

Now is the summer of our blasted dissent,
With our eyes cast upward at the debt ceiling,
And no one seems even remotely content.
Will this fallout leave us fiscally reeling?

Into this bloodless, ever-present, hot fray,
Come bright-eyed, eager interns ready to learn.
They are told for social insurance to pray,
For nothing it will give and take all we earn.

Unemployment is in federal error,
The Class Act has been passed but still needs a fix,
Medicare is causing the old to terror,
Social Security’s done by ‘thirty-six.

But UI’s computers will be updated,
A tweak here, one there, and the Class Act will roll,
By healthcare reform, Medicare is sated,
Though Social Security still has a toll.

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Posted on October 11, 2011  |  1 comment  |  Add your comment
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