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Related Experiment Videos

A basic strategy for financing long term care.

J A Greenberg, W N Leutz

    Hospital Progress
    |January 11, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Short-term fixes for Medicaid long term care spending are ineffective. A comprehensive insurance approach with phased objectives is needed to manage costs and protect individuals from impoverishment.

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    Area of Science:

    • Health Economics
    • Public Policy
    • Gerontology

    Background:

    • Medicaid long term care spending faces increasing pressure.
    • Current "quick fix" solutions are inadequate and may worsen financial challenges.

    Purpose of the Study:

    • To critique flawed short-term strategies for Medicaid long term care spending.
    • To propose a phased, insurance-based strategy for sustainable long term care financing.

    Main Methods:

    • Analysis of proposed "quick fix" solutions (family responsibility, property liens, tax incentives).
    • Development of a multi-stage strategy: short-term cost control, intermediate resource management, and long-term insurance mechanisms.

    Main Results:

    • Critique of family responsibility mandates and property liens as misinterpreting "spend-down".

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  • Identification of administrative and relational drawbacks of tax incentives for caregivers.
  • Proposal of social/HMOs as a model for intermediate resource management.

    • Conclusions:

    • Short-term measures are insufficient for addressing Medicaid long term care costs.
    • A transition to an insurance-based model is essential for long-term financial sustainability.
    • This approach can prevent individual impoverishment and reduce Medicaid caseloads.