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The complementarity of public and private long-term care coverage
David G Stevenson1, Marc A Cohen, Eileen J Tell
1Harvard Medical School, Boston, Massachusetts, USA. stevenson@med.harvard.edu
Health Affairs (Project Hope)
|January 6, 2010
Summary
Public and private long-term care financing should complement each other, not be seen as opposing options. Policy should support both for efficient and equitable outcomes in long-term care coverage.
Area of Science:
- Health Economics
- Public Policy
- Social Gerontology
Background:
- Long-term care financing discussions often present a false public versus private dichotomy.
- Existing private long-term care insurance markets are modest in size.
- The need for effective long-term care solutions is growing.
Purpose of the Study:
- To challenge the public vs. private dichotomy in long-term care financing.
- To explore complementary roles for public and private long-term care coverage.
- To inform public policy for efficient and equitable long-term care outcomes.
Main Methods:
- Analysis of the current private long-term care insurance market.
- Examination of policy interactions with public and private mechanisms.
- Consideration of potential programs like the Community Living Assistance Services and Supports (CLASS) Act.
Main Results:
- Public and private long-term care coverage can function effectively in complementary roles.
- Policy interventions can enhance the integration of public and private long-term care solutions.
- The modest size of the private market suggests areas for policy improvement.
Conclusions:
- Public policy should support both public and private long-term care financing mechanisms.
- A balanced approach is necessary for efficient and equitable long-term care.
- Further exploration of policy interfaces, including programs like the CLASS Act, is warranted.
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