The Brookings Institution: Home Care Benefit for Medicare
Develop and finance a universal home care benefit program for Medicare beneficiaries, which would have a measurable impact on access for individuals with functional and/or cognitive impairments who do not financially qualify for Medicaid.
Milken Institute: New Approaches to Long-Term Care Access for Middle-Income Households
Goal to develop complementary public-private LTSS financing solutions focused on front-end protection provided by the state. Identifies three promising areas for increased financing and delivery opportunities: Medicare expansion solutions, Technology solutions, Public and private LTC insurance solutions.
Well-Being Insurance for Seniors at Home Act (H.R. 4289)
Create a universal, catastrophic LTC insurance program meant to: Improve access to LTSS by bringing additional money into LTSS system, Reduce family out-of-pocket spending, Stabilize and improve the private market by reducing the tail-end risk and Reduce Medicaid spending.
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).
Medicare Long-Term Care Services and Supports Act of 2018
Create a universal, catastrophic LTC insurance program meant to: Improve access to LTSS by bringing additional money into LTSS system, Reduce family out-of-pocket spending, Stabilize and improve the private market by reducing the tail-end risk and Reduce Medicaid spending.
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.
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.
Comprehensive Care Act of 1992
Expands Medicare by providing: Medicare Part A coverage of facility care without requiring a prior hospital stay for chronically dependent individuals. Medicare Part B coverage of home care services to severely dependent individuals.
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.