Description: Coverage of Medicaid home and community-based services under the 1915(i) state plan option: Attractive features and important considerations

Description: This paper proposes, for long-term care, a new funding model in which social insurance and private insurance will pay for the bulk of the costs, supplemented by personal payment. If these sources fail, public welfare will serve as a safety net.

Description: An interview with Dawn Helwig on developments in the Long Term Care market.

Description: There are three parts to this article: 1. An overview of the demographics and method of supply of LTC 2. A review of the ongoing debate on the role of public funding, and 3. A summary of the insurance industry’s response

Description: We explore copay accumulators, copay maximizers, and various programs available in the commercial market. We discuss health plan, member, PBM, and pharmaceutical manufacturer implications, in the commercial market itself and other markets.

Description: As the topic of affordable long-term care (LTC) insurance comes into focus in political conversations, we often find ourselves thinking, “What is going to happen to the private LTC insurance industry going forward?” The need for LTC in the United States is not going away, especially as the population continues to age. With this in mind, this article explores three possible future paths for LTC insurance funding and the associated implications for the private LTC industry.

Description: The Role of Actuaries in Non-Traditional Long-Term Care InsuranceMedicare, Medicaid, PACE & Wisconsin's Family Care program. From Long-Term Care Newsletter, August 2002, Issue No. 6.

Description: This article provides some state officials' responses to a request for information from legislators related to the study and reform of Medicaid long-term care (LTC) eligibility and estate recovery rules. In those replies, there is strong evidence that Medicaid eligibility and estate recovery rules are subject to frequent and egregious abuses.

Description: In this video Dale Hall, Managing Director of Research at the Society of Actuaries Research Institutue, presents finding from a report on state-based catastrophic insurance coverage for long-term care in cases of conditions like dementia, ALS, and multiple sclerosis. Focusing on Minnesota as a representative state, the research explores stakeholder opinions on two program options: a comprehensive approach and a condition-specific model. While stakeholders favored a comprehensive structure, they highlighted operational challenges, the necessity of mandatory participation, and the importance of education and marketing efforts. The major takeaway is broad support for the concept, though overcoming operational hurdles and determining cost parameters are crucial for future program development. Contributors: Dale Hall FSA, MAAA, CFA, CERA , Rose Northon, STeven Siegel ASA MAAA, Jon Forster ASA MAAA