1965, who would have believed that new public policy aimed at helping the
indigent would, in time, serve even the most financially advantaged?
our Medicaid program—created as a “safety net” for the truly
needy—would be stretched far beyond its intended scope?
a manageable number of Medicaid recipients would grow exponentially along with
a system created to help America’s most vulnerable seniors would ultimately
deny them access to quality long-term care in their preferred settings?
many years of strain and abuse, our current system for financing long-term
care is in serious trouble. Soon
enough, this system—plagued by over-reliance on insufficient public
reimbursement—will be completely consumed.
How? Read on.
Evidence abounds of the damage resulting from years of
well-intentioned, but ill-fated public policy.
Examples are like small brush fires that—taken alone—are of limited
danger, but—occurring simultaneously—have the potential for catastrophic
· Medicaid planning flourishes from coast to coast despite ostensibly strict eligibility rules.
· Nursing homes around the country are struggling to survive financially with reimbursement rates from Medicaid that are often below the cost of the care they provide.
· Hundreds of home health agencies have disappeared in recent years.
· Many assisted living facilities are filling far more slowly than anticipated.
· Caregivers are in desperately short supply, whether they are low-wage nurses' aides in long-term care facilities or unpaid friends and family in private homes.
· Litigation against nursing homes and assisted living facilities for allegedly poor care is on the rise and liability insurance premiums are going through the roof.
LTC insurance market penetration is disappointing despite the
All the while, the
American public continues blithely to ignore the risk of long-term care until
it’s too late. They either
“spend down” for real, or artificially with the help of a professional
Medicaid planner, to qualify for welfare.
What Is The Center for LTC Reform, Inc. Doing About It?
Thanks to the generous support of our members, the Center for Long-Term
Care Reform, Inc. is working hard to combat these LTC brush fires with a
firewall of education and advocacy. Our ongoing activities include thoughtful
analysis of LTC financing issues and wide publication of sensible
Bullets (the Center's online newsletter) sent to 4,200+ subscribers in all
spheres of influence who forward Bullets to thousands more;
interviews with respected publications like Kiplinger’s,
The Wall Street Journal, The New
York Times and dozens more;
articles presenting the Center’s analysis and public policy recommendations
published in influential journals, magazines, and books;
at key conferences;
research and reports frequently referenced by public policy experts, long-term
care professionals, academics and the media;
rebuttal of inaccuracies in the media about private financing of long-term
care and proactive, positive advice to reporters and editors;
to consumers of the hard truths Americans need to know regarding the
deficiencies of publicly financed long-term care;
advocacy for a public policy solution to our LTC financing crisis.
From its inception in 1998, the Center for Long-Term Care Financing reached an audience of over 250,000,000 million readers, viewers and listeners. If our efforts contributed to only 1 in 5,000 of these people purchasing long-term care insurance, for example, the Center helped protect at least 50,000 people from one of life’s greatest risks. Moreover, the Center’s Earned Media Value1 has been impressive relative to our budget. In its new form, the Center for Long-Term Care Reform, Inc. will continue this distinguished record of public policy advocacy and consumer education.
More Can Be Done?
How long can the mounting number of LTC brush fires be kept
How long can the flames be quelled with ideas for responsible
reform when advocates of the status quo continuously add fuel to the fire with
seductive, but fiscally unrealistic proposals?
How long before these fires collapse into a raging inferno that
consumes our entire long-term care system?
We must all
acknowledge the futility of current long-term care public policy and dedicate
ourselves to changing it.
The Center for Long-Term Care Reform, Inc. is working with many of the leading people and organizations in long-term care to build a new model for a rational and fiscally viable long-term care financing system.
The Center’s "LTC Triathlon" project brought together
financiers, providers and insurers to facilitate a new political and economic
partnership between these three main private long-term care interest groups.
We believe that enlisting the help of the private, for-profit sector of the
economy to solve a daunting fiscal problem for the public, not-for-profit
sector of the economy is a sensible and worthy enterprise.
Do We Need You as A Partner?
We hope to carry on the Center for Long-Term Care Reform, Inc. with renewed dedication, strength and support. The Center’s influence and impact will continue to grow and the contributions of your colleagues and companies help make it all possible. Yet, our goals are ambitious, the need is great, and we want you to be a part of our growth in the coming year.
Your membership contribution will help us to:
private financing and discourage welfare dependency for long-term care;
· Increase our offerings of timely and impactful data, analysis, and commentary;
· Secure more grant funding to grow our education and advocacy activities;
· Expand our website with new features and content;
· Intensify our efforts to take the Center’s message across the country with “Speaker’s Bureau” and “LTC Academy” programs; and
Partner with others to broaden the Center’s circle of
much more! With a donation of at
least $500, you also become a member of the Center’s Spearhead Advisory
Committee which helps determine the Center’s plans for the future.
Our country has had 40 years to study the effects of poorly conceived and inadequately executed long-term care public policy. Meaningful reform won’t happen overnight. It will take years of education, advocacy, and cooperation before we can build a new long-term care financing system that will stand the test of time.
So while we at the Center for Long-Term Care Reform, Inc. fight for an equitable system that channels our scarce public resources to the needy and ensures high quality long-term care for all Americans, keep in mind…
road is too long, the stakes too high, not to work together.
1 Earned Media Value represents the amount of money the Center or our supporters would have to spend on print space and air time to purchase the publicity we generate for responsible long-term care planning.
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