Description: Milliman surveyed carriers about their recent LTC rate increase experiences. A total of 20 companies participated in the survey, representing 65 percent of LTC premium in the United States. This article highlights some of the findings from this survey, along with additional considerations when pursuing LTC rate increases.

Description: Review of non public options to finance care including personal savings, revers mortgages, family care and private insurance.

Description: Description * Coinsurance has not been widely offered as a benefit reduction option to offset long-term care premium rate increases. This article uses an illustrative example to evaluate the potential impact coinsurance could have on an insurance carrier's future claim liabilities and a policyholder's premium rates. It also explores various considerations insurance carriers, regulators, and policyholders should think about when evaluating whether coinsurance is the right option.

Description: Family caregivers are a critical link in providing long-term services and supports (LTSS), but they have significant unmet needs. To better support family caregivers, Congress authorized the Recognize, Assist, Include, Support, & Engage (RAISE) Family Caregivers Act in 2018 and created the RAISE Family Caregiving Advisory Council. The Council identified recommendations to serve as the backbone of a national strategy to improve the physical, emotional and financial well-being of family caregivers. A new report, "Asking Directions: Mapping a Course to Support Family Caregivers," identifies specific actions across a variety of players for meeting the Council’s recommendations. It summarizes insights from a year’s worth of strategy sessions and interviews with representatives of over 100 organizations. The report brings together thoughts on best practices and the most critical action steps from national and state organizations, county health providers, the direct care workforce, large and small employers, aging and disability organizations, faith-based groups, respite care providers and more. This article summarizes the research methods and key findings of the report and the work conducted by the Leading Age LTSS Center @UMass Boston and Community Catalyst’s Center for Consumer Engagement in Health Innovation.

Description: Informal caregiving is a major source of long-term care (LTC) and long-term supports and services (LTSS) more broadly. The benefit of informal caregiving is appreciated by those receiving it, and most caregivers find purpose in their work. The costs of caregiving fall on employers, other family members, the health care service sector, stakeholders in the LTSS system, and most importantly the caregivers themselves. Providing support to these caregivers can therefore benefit employers, employees, and their families, as well as the many payors of formal LTSS. Hear from three experts in caregiving who will provide their perspective about how to support information caregivers — operationally and financially — to help them succeed in their purpose. Understand benefits this support can have to the other stakeholders in today’s LTSS system. By attending this session, you will be able to: • Explain the importance of informal caregivers to stakeholders in the LTSS system, including the impact to payors and employers. • Describe the challenges informal caregivers face, and paths to success and avoiding burnout. • Discuss potential future financial solutions that may benefit caregivers, including employee programs and insurance opportunities.

Description: The time has arrived for ASU 2018-12, otherwise known as Long-Duration Targeted Improvements (LDTI). For health insurance products, the ASU will require considerable efforts to make the necessary changes to valuation systems, procedures, assumptions, and/or methodologies in order to be in compliance. This session is designed to cover LDTI implications specific to carriers of long-term care and supplemental health products, including changes to how attained age rated products will be approached, allocating and discounting the claim liability (IBNR), and how the treatment of Profits Followed by Losses (PFBL) will evolve under LDTI. By attending this session, you will be able to: • Understand LDTI’s key impacts on long-duration health insurance products. • Recognize the treatment of attained age rated products under LDTI. • Comprehend the requirements of allocating the claim liability to cohorts. • Grasp the requirements pertaining to the discounting of the claim liability. • Understand how PFBL will evolve under the new standard.

Description: This article outlines industry practice and consideration for pricing acceleration-only riders to life insurance policies.

Description: Long-term care has been changed as a result of the pandemic. The consumer cost for home health care services of facility services have changed. Explore the drivers of these changes and how it affects long-term care insurers. By attending this session, you will leave with an understanding of the key considerations when setting a long-term view on cost of care, publicly available data resources to support an assumption and leading indicators within claim data.

Description: Wellness programs are being piloted across the long-term care industry. Review what types of programs exist, when they are deployed, and how to measure their success. By attending this session, you will be able to navigate the hurdles faced by insurers in implementing a successful intervention program for long-term care insurers.

Description: This session will discuss: • What is social insurance and advantages of financing LTSS that way • Design decision points for an LTSS program • Existing examples of programs in the US and Abroad • Challenges and differences in pricing state-based LTSS financial reform.