Resources
Below is a curated collection of additional reading materials related to long-term services and supports (LTSS) financing reform.
LTSS Financing Legislation, Markets, and Evidence
This page curates key readings on how the U.S. can finance long-term services and supports (LTSS). It brings together landmark proposals, critiques, and research so policymakers, funders, journalists, and practitioners can quickly compare approaches, understand trade-offs, and locate primary sources. Resources are grouped into three sections:
Section 1: Legislative Proposals for Public LTSS Coverage Reform
- Bauer, E. (2024, November 11). Is the Wish Act a Real Fix for Long-Term Care Costs? https://www.forbes.com/sites/ebauer/2021/08/13/is-the-wish-act-a-real-fix-for-long-term-care-costs/
- Blahous, C. (2018, July 30). The costs of a national single-payer healthcare system. Mercatus Center. https://www.mercatus.org/research/working-papers/costs-national-single-payer-healthcare-system
- Brown, L. D., & Marmor, T. R. (1994). The Clinton Reform Plan’s administrative structure: The reach and the grasp. Journal of Health Politics, Policy and Law, 19(1), 193–199. https://doi.org/10.1215/03616878-19-1-193
- Calvin Coolidge Presidential Foundation. (2019, December). Debate Brief: Medicare for All.
https://coolidgefoundation.org/wp-content/uploads/2022/09/Medicare-For-All-Brief-FINAL.pdf - Cohen, M. A., & Butler, S. M. (2021, August 9). HealthAffairs. https://www.healthaffairs.org/content/forefront/middle-ground-fixing-long-term-care-costs-wish-act
- Cohen, M., Feder, J., & Favreault, M. (2018, January). A New Public-Private Partnership: Catastrophic Public and Front-End Private LTC Insurance. Bipartisan Policy Center.
https://bipartisanpolicy.org/wp-content/uploads/2018/01/Public-Catastrophic-Insurance-Paper-for-Bipartisan-Policy-Center-1-25-2018.pdf - Crowley, R., Atiq, O., Hilden, D., Beachy, M. W., Brislen, H. C., Curry, W. A., Engel, L. S., Hollon, M., Mathew, S. M., Southworth, M., Tan, M. J., Mellacheruvu, P., Shoushtari, C. S., Sagar, A., Beachy, M. W., Brislen, H. C., Curry, W. A., Engel, L. S., Hollon, M., … Hilden, D. (2022). Long-term services and supports for older adults: A position paper from the American College of Physicians. Annals of Internal Medicine, 175(8), 1172–1174. https://doi.org/10.7326/m22-0864
- Favreault, M. M., Gleckman, H., & Johnson, R. W. (2015). Financing Long-Term Services and Supports: Options Reflect Trade-Offs For Older Americans And Federal Spending. Health affairs (Project Hope), 34(12), 2181–2191. https://doi.org/10.1377/hlthaff.2015.1226
- Favreault, M. M., & Johnson, R. W. (2015, November). Microsimulation Analysis of Financing Options for Long-Term Services and Supports. Urban Institute.
https://leadingage.org/wp-content/uploads/2022/09/A-New-Vision-for-Long-Term-Services-and-Supports_FINAL.pdf - Health Care Reform Initiative. Clinton Digital Library https://clinton.presidentiallibraries.us/collections/show/87
- Johnson, M., Kishore, S., & Berwick, D. M. (2020). Medicare for all: An analysis of key policy issues. Health Affairs, 39(1), 133–141. https://doi.org/10.1377/hlthaff.2019.01040
- Kane, RL and Kane, RA. Implications of the Clinton Health Reform Plan for Older Persons and Long-Term Care. Journal of Health Politics, Policy and Law, Vol. 19 No. 1. Spring 1994. https://doi.org/10.1215/03616878-19-1-221
- Lynn, J. (2022, April 20). Financing eldercare: The Wish Act HR 4289. Joanne Lynn. https://drjoannelynn.org/2022/04/18/wish-act-hr-4289-summary/
- Office of the Assistant Secretary for Planning and Evaluation, Burwell, B. O., Harahan, M., Kennell, D., & Alecxih, L., An analysis of long-term care reform proposals (1993). Washington, D.C; U.S. Dept. of Health and Human Services. https://aspe.hhs.gov/reports/analysis-long-term-care-reform-proposals-0
- The Medicare for All Act of 2023. PNHP. (2023, June 23). https://pnhp.org/the-medicare-for-all-act-of-2023/
- Thorpe, K. E. (n.d.). The Disruptive Distributional Impacts of a Medicare For All Plan. https://sph.emory.edu/departments/hpm/documents/The-Disruptive-Distributional-Impacts.pdf
- Thorpe, KE. Reforming Medicare: Impacts on Federal Spending and Choice of Health Care. https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.w1.51
- U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy, Summary of long-term care provisions under the health security act (1994). Washington, DC. https://aspe.hhs.gov/reports/summary-long-term-care-provisions-under-health-security-act
- Wiener, J. M., Estes, C. L., Goldenson, S. M., & Goldberg, S. C. (2001). What happened to long‐term care in the health reform debate of 1993–1994? lessons for the future. The Milbank Quarterly, 79(2), 207– https://doi.org/10.1111/1468-0009.00204
- Wish Act (2021 – H.R. 4289).us. (n.d.). https://www.govtrack.us/congress/bills/117/hr4289
Section 2: Legislative Proposals for the Private Long-Term Care Insurance Market
Office of the Assistant Secretary for Planning and Evaluation, Pilot Long-Term Care Awareness Campaign: Phase I Final Report (2006). Retrieved from https://aspe.hhs.gov/reports/pilot-long-term-care-awareness-campaign-phase-i-final-report-1.
Office of the Assistant Secretary for Planning and Evaluation, Report to Congress: Partnership for Long Term Care (2011).
Office of the Assistant Secretary for Planning and Evaluation, The Long-Term Care Partnership Program: Five Years After Enactment Under the Deficit Reduction Act (2011).
Tell E.J., & Cutler J. (2011). A national long-term care awareness campaign: A case study in social marketing. Cases in Public Health Communication & Marketing, 5, 75–110.
Commission Reports and Research Papers
- Cohen, M., Feder, J., & Favreault, M. (2018, January). A New Public-Private Partnership: Catastrophic Public and Front-End Private LTC Insurance. Bipartisan Policy Center. https://bipartisanpolicy.org/wp-content/uploads/2018/01/Public-Catastrophic-Insurance-Paper-for-Bipartisan-Policy-Center-1-25-2018.pdf