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Long-Term Care Financing: Options for the Future

At the same time we invest over $200 billion in public and private resources in long-term care, dissatisfaction with our current public-private financing partnership is widespread. To promote a better partnership for the future, the Georgetown University Long-Term Care Financing Project examined options to move us from a partnership that consists primarily of out-of-pocket financing and last-resort public financing toward a partnership that spreads risk, supports access to quality care, and shares financial responsibility fairly among taxpayers and affected individuals and families.

To identify options, we invited experts to develop their own proposals for new ways to finance long-term care. We sought innovative ideas that varied in the nature of the partnership between the public and private sectors. These papers are available below. These eight, plus an additional four proposals from other sources, are summarized and assessed in an overview paper, Long-Term Care Financing: Options for the Future, written by Judith Feder, Harriet L. Komisar, and Robert B. Friedland.

Forum information and webcast

Papers

Overview

Long-Term Care Financing: Options for the Future
Summary and Overview
Full Paper
Judith Feder, Harriet L. Komisar, and Robert B. Friedland

Working Papers

No. 1 Medi-LTC: A New Medicare Long-Term Care Proposal
John Cutler, Lisa M. Shulman, and Mark Litow

No. 2 The Life Care Annuity: A Proposal for an Insurance Product Innovation to Simultaneously Improve Financing and Benefit Provision for Long-Term Care and to Insure the Risk of Outliving Assets in Retirement
Mark J. Warshawsky

No. 3 Forced Savings as an Option to Improve Financing of Long-Term Care
James Knickman

No. 4 Long-Term Care Policy Option Proposal: Consumer Controlled Chronic, Home, and Community Care for the Elderly and Disabled
Marty Lynch, Carroll Estes, and Mauro Hernandez

No. 5 A Federal Catastrophic Long-Term Care Insurance Program
Christine E. Bishop

No. 6 Linking Medicare and Private Health Insurance for Long-Term Care
Anne Tumlinson and Jeanne Lambrew

No. 7 A Trade-Off Proposal for Funding Long-Term Care
Yung-Ping Chen

No. 8 A Proposal to Finance Long-Term Care Services Through Medicare With an Income Tax Surcharge
Leonard E. Burman and Richard W. Johnson

See more Long-Term Care Financing Project publications...

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