Caring for the Disabled Elderly analyzes the major options for reforming the way long-term care is financed. It first explores the potential market for private long-term care insurance and other private sector initiatives. Then it turns to the advantages and disadvantages of various public sector programs. The study recommends both a greatly expanded role for the private sector in financing long-term care and a new public insurance program.

Caring for the Disabled Elderly: Who Will Pay?

Business & Money

Rivlin, Alice M.

Wiener, Joshua M.

Economics

Brookings Institution Press

Caring for the Disabled Elderly analyzes the major options for reforming the way long-term care is financed. It first explores the potential market for private long-term care insurance and other private sector initiatives. Then it turns to the advantages and disadvantages of various public sector programs. The study recommends both a greatly expanded role for the private sector in financing long-term care and a new public insurance program.

Caring for the Disabled Elderly: Who Will Pay

Politics & Social Sciences

Politics & Government

Brookings Inst Pr

American women and children, particularly poor ones, face major health risks. Infant mortality rates in the United States are far higher than in many other industrialized nations, and infant death rates, for blacks are twice those for whites. One serious impediment to reducing infant mortality and improving maternal and child health in the United States is that many children and pregnant women do not have access to basic health services. This book explores ways to ensure universal access to health services and examines the need to provide services that go beyond traditional medical care.

Improving Access to Health Services for Children and Pregnant Women (Brookings Dialogues on Public Policy)

Engel, Jeannie

Medical Books

The United states is engaged in a critically important and contentious debate on how to overhaul the health care system. The Clinton administration's call for major health care reform has brought national attention to solving the dual problems of uncontrolled cost increases and the lack of adequate health insurance. Although this debate focuses primarily on acute care, it is also about long-term care and about how to restructure the way that care is financed. Today the families of Americans suffering from chronic conditions that require long-term care either at home or in nursing homes often face financial catastrophe. With the ever-increasing elderly population the need to address long-term care financing is more crucial than ever. Sharing the Burden examines a wide range of financing approaches to reforming long-term care and the impacts each would have over the next twenty-five years. It tackles the central issue in the long-term care debate - the relative roles of the public and private sectors. The authors urge that private insurance be encouraged and predict that it will grow. Nevertheless, private insurance will probably play a modest role in financing nursing home and at-home care. For this reason, careful attention must also be given to reforming public programs. They recommend a strategy that includes expanded social insurance covering more at-home care and limited nursing home care, liberalized eligibility requirements for medicaid so that complete impoverishment is not required before benefits are given, and an enhanced role for private insurance to provide asset protection to the upper-middle-income and wealthy elderly. Using their original computer simulation model, theauthors examine the costs of various public and private initiatives and who would pay for them. They conclude that the best strategy for reforming long-term care is a mix of public and private initiatives and, within the public sector, a combination of social insurance and medicaid

Sharing the Burden: Strategies for Public and Private Long-Term Care Insurance

Illston, Laurel Hixon

Hanley, Raymond J.

The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children’s Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.

Federalism and Health Policy (Urban Institute Press)

Holahan, John

Weil, Alan

Social Sciences

Rowman & Littlefield Publishers

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Books by Wiener, Joshua M.