Description: This paper explores deficiencies in our present health care system, and examines how they hinder the provision of optimal chronic illness care. From Financing Chronic Care Monograph, M-HB05-1.

Description: Because of increasing longevity in the world's population, a larger proportion of people will live long enough to develop chronic diseases. Because of their large numbers and extent of their individual expenses, the public sector will need to intervene to help these patients and their families. From Financing Chronic Care Monograph, M-HB05-1.

Description: This paper explores how an intragenerational funding approach might spread the risks from those older persons who live longer to those who do not live so long and from those who are healthier or less dependent to those who are less healthy or more dependent.

Description: Essay submission on impact of COVID-19 on Senior Housing and Support.

Description: A recent study sponsored by the Society of Actuaries (SOA) and ILTCI Conference Board examines morbidity improvement and how it impacts long-term care (LTC). The study was authored by P.J. Eric Stallard and Anatoliy Yashin of Duke University. This article summarizes the study’s findings and provides useful background for readers who may not be familiar with LTC services and insurance.

Description: This article discusses the ways reinsurers support ceding companies: 1. Sharing morbidity risk. 2. Sharing other risks such as return on investment. 3. Sharing of expertise such as providing underwriting advice. 4. Sharing financial resources. 5. Sharing the role of consumer protection.

Description: Preparing an initial LTCI rate filing under the 2000 LTCI Model Regulation certification requirements. From Long-Term Care, Dec 2003, Issue No. 10

Description: Cognitive tests used in the long-term care insurance industry differ in cognitive domains tested, time required for testing, ease of test administration, sensitivity and specificity. Recently, new approaches to scoring or testing have improved test utility for screening for cognitive impairment.

Description: The Minnesota Cognitive Acuity Screen MCAS is a brief cognitive screen that has been validated to correctly identify mild to moderate cognitive impairment in 98.1 percent of all cases. The MCAS has been in use in the LTCI industry for more than five years, and has shown excellent results in reducing early cognitive claims.

Description: The Congressional Budget Office reports that out-of-pocket expenses accounted for 19 percent of the total long-term care LTC expenses in the United States in 2006, and private LTC insurance accounted for only 8 percent of these expenses, which shows that Americans are underinsured for LTC expenses. While it is true that public programs like Medicaid and Medicare cover much of the nation’s LTC expenses 68 percent of the total LTC expenses in the United States in 2006, eligibility for these programs comes at a great cost to the individual.