251774 Need for Broad Based Financing for Home and Community Long Term Care (LTC)

Tuesday, November 1, 2011: 10:30 AM

Gerald Eggert, PhD , Rural Health and Financing Consultant, Rochester, NY
Financing home and community based long term care has been at the forefront of health policy since the passage of Medicare and Medicaid in 1965.

Medicare has avoided financing long term care by generally defining covered services to only include post acute, skilled level care. Medicaid does cover long term care but eligibility requires spending down personal assets to poverty levels, which many older and disabled persons try to avoid. The VA covers long term care but requires eligible veterans be service connected for injury or illness or be poverty stricken. Private insurance coverage of long term care is very expensive. In the past 20 years few have purchased such coverage. Newer insurance models involve converting whole life contracts to long term care coverage, but to date the penetration of these models is thought to be small. The CLASS Act was contained in the Health Reform Legislation enacted in 2010. The Community Living Assistance Services and Supports (CLASS) Plan is a broad based, employer driven long term care social insurance plan that is just getting off the ground.

Connie Garner, PhD, will cover CLASS Act. John Wren will outline implementation strategy being developed by The CLASS Office, AOA/DHHS. Joan VanNostrand, DPA, will offer suggestions to stimulate enrollment by historically underserved rural population groups, where the prevalence of functional loss exceeds national norms. Gerald M. Eggert, PhD, will introduce topic and offer concluding comments. Audience Q&A will be solicited.

Learning Areas:
Administration, management, leadership
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health administration or related administration
Public health or related public policy

Learning Objectives:
To discuss LTC Financing Models Explain the GAP in LTC Financing

Keywords: Long-Term Care, Rural Health Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Gerry Eggert was the Executive Director of the Monroe County Long Term Care Program in Rochester, New York from 1975 to 2004. He was principal investigator on numerous federal, state and private foundation research and demonstration projects, most recently testing the efficacy and effectiveness of an enhanced physician led primary care model serving functionally impaired Medicare beneficiaries living in upstate New York, West Virginia and Ohio.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: The Class Act
See more of: Aging & Public Health