Brief How Much Might New Insurance Programs Improve Financing for Long-Term Services and Supports?
Melissa M. Favreault, Howard Gleckman, Richard W. Johnson
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For decades, policymakers have struggled to address the challenges of financing long-term services and supports, with little success. To better understand new insurance-based alternatives and their effects on people age 65 and older, we analyze several proposals, including mandatory and voluntary options. Although none of these new plans is ideal, each would be an improvement over today’s ineffective financing system, which imposes large out-of-pocket costs on families and shifts costs to the underfunded Medicaid system once those families have exhausted their financial resources. We find substantial trade-offs between voluntary and mandatory insurance and smaller but important differences among voluntary programs.

Research and Evidence Health Policy Tax and Income Supports Technology and Data
Expertise Medicare and Medicaid Microsimulation Modeling Aging and Retirement
Research Methods Dynamic Simulation of Income Model 4 (DYNASIM4)
Tags Medicaid and the Children’s Health Insurance Program  Disability and long-term care Disability equity policy
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