Bipartisan Policy Center: An Updated Policy Roadmap: Caring for Those with Complex Needs
Federal Catastrophic Long-Term Care Insurance. Presents a mix of publicly funded programs and private insurance approaches to financing LTSS as a package of solutions designed to be financially and politically viable.
The National Academy for Social Insurance: Designing a State-Based Social Insurance Program for Long-Term Services and Supports
Focuses on an analysis of social insurance solutions and intended as a roadmap for state policymakers. Identifies the key design issues for consideration in the design of a social insurance
program for LTSS. Speaks to the preliminary design and concepts of the Washington State LTSS social insurance program, Washington Cares (WA Cares).
LeadingAge: A New Vision for Long-Term Services and Supports
Goals to develop a fairer and more rational financing system to ensure access to quality LTSS. Recommends a flexible and universal LTSS insurance program grounded in the principles of shared risk and consumer flexibility. Re-directs health and LTC dollars already
in the system and creates new funding that relies on a universal public catastrophic
insurance program that insures against the risk of long periods of high need.
Urban Institute: Microsimulation Analysis of Financing Options for Long-Term Services and Supports
To assess alternative LTSS financing options and better understand how policy changes
could expand the role of insurance.
Long-Term Care Financing Collaborative (LTCFC): Principles for Improving Financing and Delivery of Long Term Services and Supports
Recommends a combination of public and private sector reforms: Universal catastrophic insurance program of financial support for those with extended LTC needs. Various initiatives to revitalize the private LTC insurance market to better address non-catastrophic care needs. Stronger support for family caregivers. Modernization of the Medicaid safety net for LTSS.
U.S. Senate Commission on Long-Term Care: Report to the Congress
Section 643 of the American Taxpayer Relief Act of 2012 directed the Commission to develop a plan for the establishment, implementation, and financing of LTSS for individuals, including older adults, those with cognitive or functional limitations, and others who require assistance to perform ADLs.
Georgetown University Long-Term Care Financing Project: Trade-Off Proposal for Funding Long-Term Care
Following a cafeteria benefit model, public social insurance program that “trades” a small portion (5%) of individuals’ Social Security benefits to use for LTC coverage. It would create in the public sector a social insurance program for covering basic LTC by enabling people to exchange a small part of their income protection for LTC protection.
The Pepper Commission: A Call for Action: Blueprint for Health Care Reform
Proposes mandatory social insurance program for HCBS and the first three months of nursing facility care would be covered for all Americans, regardless of income.