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Financing long-term services and supports

Financing long-term services and supports PDF Author: Joshua Wiener
Publisher: RTI Press
ISBN:
Category : Business & Economics
Languages : en
Pages : 18

Book Description
This article provides an overview of financing for long-term services and supports (LTSS) in the United States, paying special attention to how it has changed and not changed over the last 30 years. Although LTSS expenditures have increased greatly (like the rest of health care), the broad outline of the financing system has remained remarkably constant. Medicaid—a means-tested program—continues to dominate LTSS financing, while private long-term care insurance plays a minor role. High out-of-pocket costs and spend-down to Medicaid because of those high costs continue to be hallmarks of the system. Although many major LTSS financing reform proposals were introduced over this period, none was enacted—except the Community Living Assistance Services and Supports Act, which was repealed before implementation because of concerns about adverse selection. The one major change during this time period has been the very large increase in Medicare spending for post-acute services, such as short-term skilled nursing facility and home health care. With the aging of the population, demand for LTSS is likely to increase, placing strain on the existing system.

Financing long-term services and supports

Financing long-term services and supports PDF Author: Joshua Wiener
Publisher: RTI Press
ISBN:
Category : Business & Economics
Languages : en
Pages : 18

Book Description
This article provides an overview of financing for long-term services and supports (LTSS) in the United States, paying special attention to how it has changed and not changed over the last 30 years. Although LTSS expenditures have increased greatly (like the rest of health care), the broad outline of the financing system has remained remarkably constant. Medicaid—a means-tested program—continues to dominate LTSS financing, while private long-term care insurance plays a minor role. High out-of-pocket costs and spend-down to Medicaid because of those high costs continue to be hallmarks of the system. Although many major LTSS financing reform proposals were introduced over this period, none was enacted—except the Community Living Assistance Services and Supports Act, which was repealed before implementation because of concerns about adverse selection. The one major change during this time period has been the very large increase in Medicare spending for post-acute services, such as short-term skilled nursing facility and home health care. With the aging of the population, demand for LTSS is likely to increase, placing strain on the existing system.

An Assault on Medicare and Medicaid in the 1980's

An Assault on Medicare and Medicaid in the 1980's PDF Author:
Publisher:
ISBN:
Category : Budget
Languages : en
Pages : 32

Book Description


Implementation and Impact of Changes Made to Medicare by the 1997 Balanced Budget Act

Implementation and Impact of Changes Made to Medicare by the 1997 Balanced Budget Act PDF Author: United States. Congress. Senate. Committee on Finance
Publisher:
ISBN:
Category : Law
Languages : en
Pages : 408

Book Description


Background Material and Data on Major Programs Within the Jurisdiction of the Committee on Ways and Means

Background Material and Data on Major Programs Within the Jurisdiction of the Committee on Ways and Means PDF Author:
Publisher:
ISBN:
Category : Economic assistance, Domestic
Languages : en
Pages : 1652

Book Description


Medicare Prospective Payment and the American Health Care System

Medicare Prospective Payment and the American Health Care System PDF Author:
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 134

Book Description


American Economic Policy in the 1980s

American Economic Policy in the 1980s PDF Author: Martin Feldstein
Publisher: University of Chicago Press
ISBN: 0226241734
Category : History
Languages : en
Pages : 836

Book Description
Destined to become the standard guide to the economic policy of the United States during the Reagan era, this book provides an authoritative record of the economic reforms of the 1980s. In his introduction, Martin Feldstein provides compelling analysis of policies with which he was closely involved as chairman of the Council of Economic Advisers during the Reagan administration: monetary and exchange rate policy, tax policy, and budget issues. Other leading economists and policymakers examine a variety of domestic and international issues, including monetary and exchange rate policy, regulation and antitrust, as well as trade, tax, and budget policies. The contributors to this volume are Alberto Alesina, Phillip Areeda, Elizabeth Bailey, William F. Baxter, C. Fred Bergsten, James Burnley, Geoffrey Carliner, Christopher DeMuth, Douglas W. Elmendorf, Thomas O. Enders, Martin Feldstein, Jeffrey A. Frankel, Don Fullerton, William M. Isaac, Paul L Joskow, Paul Krugman, Robert E. Litan, Russell B. Long, Michael Mussa, William A. Niskanen, Roger G. Noll, Lionel H. Olmer, Rudolph Penner, William Poole, James M. Poterba, Harry M. Reasoner, William R. Rhodes, J. David Richardson, Charles Schultze, Paula Stern, David Stockman, William Taylor, James Tobin, W. Kip Viscusi, Paul A. Volcker, Charles E. Walker, David A. Wise, and Richard G. Woodbury.

108-2 Committee Print: Committee on Ways and Means, 2004 Green Book, Etc., March 2004, *

108-2 Committee Print: Committee on Ways and Means, 2004 Green Book, Etc., March 2004, * PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 1628

Book Description


Compendium of HHS Evaluations and Relevant Other Studies

Compendium of HHS Evaluations and Relevant Other Studies PDF Author: HHS Policy Information Center (U.S.)
Publisher:
ISBN:
Category : Human services
Languages : en
Pages : 1494

Book Description


Health Care Financing Review

Health Care Financing Review PDF Author:
Publisher:
ISBN:
Category : Medical care
Languages : en
Pages : 356

Book Description


Statistical Reference Index

Statistical Reference Index PDF Author:
Publisher:
ISBN:
Category : Statistics
Languages : en
Pages : 520

Book Description