May is Older Americans Month, and as President Biden stated in his May 3rd proclamation: “During Older Americans Month, we celebrate older Americans and the key role they play in sharing the wisdom and experience that inform today’s decisions and actions, and fostering the connection and engagement that build strong,
Designing Universal Long-Term Services and Supports Programs: Lessons from Germany and Other Countries
In 2019, Washington State enacted the first universal long-term services and supports (LTSS) program in the United States. It is a social insurance program, like Social Security or Medicare Hospital Insurance, into which virtually all workers contribute and from which all who meet the vesting requirements will be eligible to
Emphasizing stakeholder voices and new partnerships The Academy’s 33rd annual policy conference, Pathways to Economic Security: Bringing All Voices to the Table, was held virtually on March 2-4, 2021. Stakeholders' perspectives led policy conversations around economic security throughout the keynotes, panel dialogues, and workshops. (While we are all stakeholders in economic security
As the year draws to a close, our nation is still grappling with a trilogy of crises: an explosive increase in COVID-19 cases, deepening economic instability that has people waiting hours in line at food banks, and ongoing geographic and racial disparities that disenfranchise the most vulnerable among us. In
In a new compendium, The Future of Social Insurance: Insights From the Pandemic, fourteen top experts on Social Security, Medicare, the economy, labor and workforce issues, retirement, aging, disability and long-term care, describe what we have learned from the pandemic so far. Each reflects on how social insurance programs have come to the aid of millions of Americans during today’s extraordinary economic and health catastrophes, and how policymakers might further strengthen the programs for future crises.
Health Policy and Social Security Experts Carroll Estes and Theodore Marmor receive the 2019 Robert M. Ball Award for Outstanding Achievements in Social Insurance
Carroll Estes and Theodore (Ted) Marmor will each receive the 2019 Robert M. Ball Award, presented by the National Academy of Social Insurance (the Academy) at the National Press Club on June 27, 2019. Guest speakers to offer reflections on Carroll Estes’ contributions include Harriet Miers, former White House counsel to George W. Bush, and Kevin Prindiville, Executive Director of Justice in Aging. Speakers reflecting on Ted Marmor’s accomplishments include Bill Drayton, CEO of Ashoka, and Jerry Mashaw, Sterling Professor Emeritus of Law at Yale Law School.
Carroll Estes and Ted Marmor have both devoted their careers to social insurance education and policy research. They continue to provide the vocabulary we need to regenerate social insurance for this new Millennium.
Designing Universal Family Care: State-Based Social Insurance Programs for Early Child Care and Education, Paid Family and Medical Leave, and Long-Term Services and Supports
This report explores strategies that states could pursue to better support families in meeting evolving care needs over the lifespan. The first three chapters of the report explore the challenges families face in the realms of early child care and education (ECCE), paid family and medical leave (PFML), and long-term services and supports (LTSS). For each care domain, the panel identifies policy options along with the tradeoffs associated with specific policy choices; this is done within the context of assuring universal access, affordability, and financial stability through well-defined financing mechanisms. The concluding chapter explores how an integrated approach to care policy might be designed—one offering families a single point of access to ECCE, PFML, and LTSS benefits—under an umbrella program called Universal Family Care.
Presented made by William J. Arnone at the summer 2017 meetings of the National Association of Insurance Commissioners in Philadelphia, PA, August 8, 2017.
This infographic addresses how cuts to federal Medicaid funding under a shift from current law (as of June 2017) to a federal cap could affect Americans. It is based on the brief Medicaid and Federal Funding Caps: Implications for Access to Health Care and Long-Term Services and Supports among Vulnerable Americans, which analyzes in depth the policy of capping federal Medicaid spending through per capita caps and the implications of such a policy for states’ ability to provide health care and long-term services and supports to vulnerable Americans.
Medicaid Reform Could Shift Risk onto States and the Most Vulnerable Americans and Harm Population Health, According to New Analysis
WASHINGTON, DC – Medicaid insures roughly 69 million people in the United States and finances nearly half of all births. It is the leading funder of long-term services and supports for seniors and people with disabilities and is at the front lines of efforts to combat the opioid epidemic. However, legislation currently under consideration by Congress would fundamentally alter the structure of Medicaid and create a permanent and growing chasm between actual health care costs and federal contributions to Medicaid. This could have implications for access to health care and long-term services and supports among many of the most vulnerable Americans, according to a set of briefs released today by the National Academy of Social Insurance.