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Long-Term Care for the Elderly

Long-Term Care for the Elderly

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Today, 6 million people age 65 and older need long-term care. By 2040, once all the baby boomers have grown elderly, that number could be 21 million.

Every year Americans spend over 182 billion public and private dollars on services and supports for chronically disabled elders. This is projected to nearly double by 2030 to $341 billion and to grow to $684 billion once the last baby boomers have turned 85. Still, most people have not saved enough to cover long-term care, and only a minority have long-term care insurance.

In this environment, policymakers, providers, researchers, and consumers themselves strive to fashion a comprehensive long-term care system out of our present patchwork of federal, state, local, and private organizations. Though the Affordable Care Act makes home and community-based services available to more people and includes Community Living Assistance Services and Supports (CLASS), a voluntary long-term care insurance program, the vision of an affordable, consumer-directed, community-based, integrated delivery system staffed by a quality workforce is far from assured.

Long-Term Care for the Elderly sets forth an evidence-based research and policy agenda to identify the financing and delivery approaches that optimize quality of care, quality of life, and cost outcomes. Examining the Affordable Care Act, Robyn Stone evaluates such initiatives as the Program of All Inclusive Care for the Elderly (PACE), EverCare, the Home-Based Primary Care Program (HBCP), the Federal Coordinated Health Care Office, and the Center for Medicare and Medicaid Innovation. Also discussed are significant policy interventions to expand the supply of caregiving professionals, encourage workforce education and training, and make long-term care jobs more attractive. With Stone’s guidance, the vision of a long-term care system for 2030 could become a reality.
Today, 6 million people age 65 and older need long-term care. By 2040, once all the baby boomers have grown elderly, that number could be 21 million.

Every year Americans spend over 182 billion public and private dollars on services and supports for chronically disabled elders. This is projected to nearly double by 2030 to $341 billion and to grow to $684 billion once the last baby boomers have turned 85. Still, most people have not saved enough to cover long-term care, and only a minority have long-term care insurance.

In this environment, policymakers, providers, researchers, and consumers themselves strive to fashion a comprehensive long-term care system out of our present patchwork of federal, state, local, and private organizations. Though the Affordable Care Act makes home and community-based services available to more people and includes Community Living Assistance Services and Supports (CLASS), a voluntary long-term care insurance program, the vision of an affordable, consumer-directed, community-based, integrated delivery system staffed by a quality workforce is far from assured.

Long-Term Care for the Elderly sets forth an evidence-based research and policy agenda to identify the financing and delivery approaches that optimize quality of care, quality of life, and cost outcomes. Examining the Affordable Care Act, Robyn Stone evaluates such initiatives as the Program of All Inclusive Care for the Elderly (PACE), EverCare, the Home-Based Primary Care Program (HBCP), the Federal Coordinated Health Care Office, and the Center for Medicare and Medicaid Innovation. Also discussed are significant policy interventions to expand the supply of caregiving professionals, encourage workforce education and training, and make long-term care jobs more attractive. With Stone’s guidance, the vision of a long-term care system for 2030 could become a reality.

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Published by: Urban Institute Press on Aug 01, 2011
Copyright:Traditional Copyright: All rights reserved
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10/14/2013

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