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To Whom It May Concern: The individuals listed below completed the following
training conducted by Stephen Moses, President of the Center for Long-Term Care
Financing at the venue and on the dates indicated. This training was planned on short notice because of the
cancellation of a major Long-Term Care Insurance Conference originally scheduled
for March 4, 2002 in Chicago by the American Conference Institute.
Consequently, pre-application for continuing education credits for this
program was not possible. We are
providing this documentation as evidence of the training provided and with the
request that you grant the appropriate number of continuing education credits
for each of the individuals listed below who applies. Any questions may be directed to: Stephen
A. Moses, President, Center for Long-Term Care Financing, 2212 Queen Anne Avenue
North, #110, Seattle, WA 98109,
Office: 206-283-7036, Fax: 206-283-6536,
E-mail: smoses@centerltc.org,
Web site: www.centerltc.org
The Center for Long-Term Care Financing is a 501(c)(3)
charitable, nonprofit, nonpartisan think tank and public policy organization
headquartered in Seattle, Washington. The
Center's mission is to ensure access to
quality long-term care for all Americans.
We speak at conferences, write for publication, testify in state
legislatures, and conduct training for professional financial advisers of the
elderly throughout the United States. Details
on the Center for Long-Term Care Financing, including the bona fides of the
organization and its principals, may be found at www.centerltc.org.
The seminar instructor's curriculum vitae is included at the end of this
document. On March 4 and March 5, 2002, Center President Stephen
Moses presented a training program titled "The LTC Graduate Seminar"
from 9AM to 5PM at the Embassy Suites Hotel Roseland O'Hare in Chicago,
Illinois. The presentation included
lecture and discussion with 15 minute breaks mid-morning and mid-afternoon, and
a one-hour lunch break. All
attendees received copies of four text books published by the Center for
Long-Term Care Financing: "LTC
Choice: A Simple, Cost-Free
Solution to the Long-Term Care Financing Puzzle," "The Myth of
Unaffordability: How Most Americans
Should, Could and Would Buy Long-Term Care Insurance," "The LTC
Triathlon: Long-Term Care's Race
for Survival," and "The Magic Bullet:
How to Pay for Universal Long-Term Care."
The first three of these texts may be read or copied in .pdf format at www.centerltc.org. Additional
handouts included several published articles by the instructor, Stephen Moses,
induding an article titled "Long-Term Care Due Diligence for Professional
Financial Advisers" published September 2001 in the Journal of Financial
Planning, a peer-reviewed professional journal for financial advisers. The
cost to attend this seminar was $195 per person. Content of the seminar (identical on both days) was as
follows. The presenter offered
extensive information and documentation on each of the topics listed and
provided time for discussion, questions and answers regarding each item. The
Problem of Long-Term Care Americans are living longer, but dying slower often in need
of expensive long-term care (LTC). Trends in aging demographics guarantee that LTC will become
a much bigger and more expensive, possibly catastrophic, social and political
challenge in the future. America's LTC service delivery and financing system is
severely dysfunctional in terms of access, quality, reimbursement,
discrimination, and institutional bias. LTC places a huge financial burden on U.S. social programs
(principally Medicaid and Medicare) while private financing of LTC, especially
insurance, is very limited. In the absence of adequate public and private third party
financing for professional LTC services, American families struggle to provide
informal care at home with little help. Related problems are growing, such as, physical and financial abuse of the elderly exacerbated by economic and emotional pressures on the "sandwich generation." The
Reason Long-Term Care Service Delivery and Financing Have Become Such Big
Problems for America Ironically, well-intentioned public financing of LTC since
1965, although helping many people in need, has inadvertently created and
exacerbated the status quo. Medicaid financing of nursing home care led to
institutional bias. Neither
Medicaid nor Medicare can afford to provide the community care most seniors
prefer. Simultaneously, public financing of LTC inhibited the
growth of a private market for home care, assisted living and the private
insurance products to pay for them. Limited provider reimbursement by Medicaid and Medicare
caused access and quality problems, which led to discrimination against public
recipients and in favor of private payers. Consequently, private payers are migrating to home care and
assisted living leaving public payers and nursing homes with the highest acuity,
most expensive patients. Ramifications for staffing, litigation, liability
insurance, capital financing, stock prices, and viability of the system are
approaching the end game. In the meantime, relatively easy access to Medicaid nursing
home care and Medicare home care has desensitized the American public to the
risk and cost of formal LTC. Thus, most people who need formal long-term care still end
up in nursing homes paid for by Medicaid and very few Americans plan, save or
insure for LTC. The
Solution The good news is that America's LTC crisis is relatively
easy to solve, because it is self-inflicted by well-intentioned, but negative
incentives in public policy. In America today, one can ignore the risk of LTC, avoid
premiums for private insurance, qualify much more easily for public benefits
than is commonly understood, or dodge "spend-down" requirements
entirely. Stricter eligibility rules (e.g., "Throw Granny in
Jail") and mandatory estate recovery have failed to save Medicaid or
encourage individual responsibility because they come after it is too late to
save or insure. To solve the LTC crisis, we must (1) educate everyone by age 50
about the risk and cost of LTC, (2) enforce "LTC
Contracts" before retirement whereby everyone acknowledges the personal
responsibility to save or insure for LTC, (3) extend to all uninsured
Americans the "LTC Choice" of a publicly backed line of credit on
their estates so they can purchase quality LTC in the private marketplace at the
most appropriate level of care, and (4) faithfully recover these secured loans from the estates of
deceased borrowers in order to encourage their heirs and all other Americans to
plan early and insure fully for LTC. Benefit payments can be administered through vouchers or
formal loans, but they must be secured by collateral and recovered upon death of
the last surviving exempt dependent relative, such as a spouse or disabled
child. With these positive programs and incentives in place, fewer
people will depend on Medicaid or Medicare for their LTC and those programs will
be better able to serve their legitimate recipients and beneficiaries. List of seminar attendees by date of attendance.
Each of the attendees listed was present at the beginning of the seminar,
stayed until the end, and was present for the entire content (with one exception
listed): March 4, 2002 Craig McCormick Jill McGuire Pat Hilgendorf Glenda M Tesmer Richard A. Schafer Bud Domagata Bill Bringham Helene
Rider March 5, 2002 Rene Apack Jean Seaton Sheldon Fine Jon Terry Curt Leadblad Steve Salzman David Veatch Dawn Helwig (arrived 15 or 20 minutes late, but missed only introductory and administrative material) Bernard Turnoy Curriculum Vitae of Instructor Stephen Moses is President of the Center for Long-Term Care
Financing in Seattle, Washington. The
Center promotes universal access to top-quality long-term care by encouraging
private financing and discouraging welfare financing of long-term care for most
Americans. Previously, Mr. Moses
was Director of Research for LTC, Inc., a Medicaid state representative for the
Health Care Financing Administration and a senior analyst for the Inspector
General of the U.S. Department of Health and Human Services. Mr. Moses is widely recognized as an expert and an
innovator in the field of long-term care. McKnight’s
Long-Term Care NEWS named him “one of the 100 most influential
people in long-term care.” Nursing
Homes magazine reported “there is probably no more articulate spokesperson
for privately financed long-term care than Stephen Moses.” Steve Moses has directed numerous national studies for the
federal government, state governments, and private organizations on Medicaid
nursing home eligibility, asset transfers, estate recoveries and long-term care
financing. He specializes in
problems associated with “Medicaid estate planning,” the practice of
artificially impoverishing affluent people to qualify them for public
assistance. Moses is credited with having “forged the framework”
for the Omnibus Budget Reconciliation Act of 1993, which attempted to bring
Medicaid eligibility loopholes under control.
He helps state Medicaid programs curtail Medicaid estate planning and
encourage private insurance as an alternative to public welfare financing of
long-term care for the middle class. Mr. Moses’ articles appear often in distinguished
publications like The Gerontologist, The
Journal of Accountancy, Contemporary
Long-Term Care, Best’s Review, National Underwriter and LTC
News & Comment. He is the
author of “Health and Long-Term Care Insurance,” a chapter in Clark Boardman
Callaghan’s legal treatise, Advising the
Elderly Client. He has
testified before half of America’s state legislatures.
He frequently addresses professional conferences in the fields of law,
aging and insurance. Steve Moses’ recommendations are quoted regularly in the
national media including the “CBS Evening News,” PBS’s “Frontline” and
“The Financial Advisors,” CNN, National Public Radio, The New York Times, Newsweek,
USA Today, Forbes, The New Republic, Smart
Money, National Journal, and Jane Bryant Quinn’s syndicated column.
He appears in a public television documentary entitled “The Aging of
America: The Dilemma of Long-Term
Care.” His talk radio appearances
on health care reform are unique, provocative, and increasingly in demand. Mr. Moses wrote the chapter on long-term care financing for a new anthology entitled Toward Healthy Aging, edited by best-selling author Ken Dychtwald of Age Wave renown. His chapter for a book on the Long-Term Care Partnerships will be published soon. He is also the author of LTC Choice: A Simple, Cost-Free Solution to the Long-Term Care Financing Puzzle and The Myth of Unaffordability: How Most Americans Should, Could and Would Buy Private Long-Term Care Insurance. Thank you for considering this request. Respectfully submitted by: Stephen A. Moses, President Center for Long-Term Care Financing |
