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Thursday, October 10, 2013

Where Does the Commission on Long-Term Care Leave Us?

G. Lawrence Atkins, Federal Commission on Long Term Care and National Academy of Social Insurance

Organizing the delivery and financing of long-term services and supports (LTSS) for people with significant cognitive and physical functional limitations has been a challenge in the U.S. for decades.  Most of the LTSS is provided by family caregivers, but when people need paid services and supports for an extended period they encounter an array of services and providers that can be confusing, frustrating and expensive.  Although the cost of an extended period of LTSS is an insurable risk, this country does not have a well-structured financing approach that protects people or enables people to adequately protect themselves against this risk.  Families and individuals can exhaust their resources paying for LTSS and then have to turn to Medicaid for help.  Medicaid, which today finances two-thirds of paid LTSS, is a major expenditure for federal and state governments that is projected to intensify as LTSS needs double with the aging of the baby boom.

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Thursday, October 10, 2013

Long-Term Services and Supports: The Path Forward

Judy Feder, Urban Institute and Georgetown Public Policy Institute

Laphonza Butler, SEIU-United Long Term Care Workers

Henry Claypool, American Association for People with Disabilities

Judith Stein, Center for Medicare Advocacy, Inc.

Lynnae Ruttledge, National Council on Disability

All eyes are on the Affordable Care Act’s launch, extending health insurance to tens of millions of people without it. Despite the continued political battle, even the ACA’s critics seem to get that insurance is essential to assure access to care and protection against financial catastrophe.

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Thursday, October 10, 2013

The Long-Term Care Commission: The Good, The Bad, and What’s Next?

Joe Caldwell, National Council on Aging

Howard Bedlin, National Council on Aging

The Long-Term Care Commission faced incredible odds. It originated as a consolation prize for repeal of the CLASS program, struggled to get off the ground, and was charged with solving one of the most challenging issues facing our country—all in less than 100 days. Despite the odds, the Commission managed to generate a lot of buzz about long-term care this summer, at least inside the Beltway. It held four public hearings, gathered nearly 100 outside comments, and delivered a report on time that probably exceeded expectations.

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Posted on October 10, 2013  |  Write the first comment
Monday, September 9, 2013

After the Affordable Care Act, Medicare for All

Laurence Seidman, Professor of Economics, University of Delaware

Eight years ago I wrote in support of a plan similar to the Affordable Care Act and I now support full implementation of the ACA because I believe it will make important improvements in the current system of private employer-provided insurance and individual insurance.  But it is striking how many problems facing the ACA would disappear if the country were instead implementing Medicare-for-All.  It is worth grasping the contrast, because after the ACA has been fully implemented and made its improvements, a strong case will still remain for going beyond the ACA to enact Medicare-for-All.

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Posted on September 9, 2013  |  Write the first comment
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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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