Addressing Long-Term Services and Supports Reform via Medicare. Yes, Medicare, That Post-Acute Care Program

Walter D. Dawson, John Cutler

Research output: Contribution to journalComment/debatepeer-review

2 Scopus citations

Abstract

Reform of the U.S. long-term services and supports (LTSS) financing system has been historically difficult to achieve. This article outlines several recent reform proposals and offers a path forward on achieving LTSS reform. These proposals include the Commonwealth Fund’s Medicare Help at Home proposal, the work of the Bipartisan Policy Center, as well as the State of Minnesota to develop an LTSS benefit. All three proposals focus on an expansion of Medicare to cover the LTSS needs of Americans. While Medicare increasingly pays for LTSS, these approaches ensure that the role of Medicare in LTSS financing is much more coordinated. Enhancing Medicare’s role reduces the current reliance on Medicaid, the default payer of LTSS, while providing an opportunity for a more robust private insurance market to develop. This would help provide for the immediate LTSS needs of Americans while building a more sustainable and equitable financing system for future generations.

Original languageEnglish (US)
Pages (from-to)108-124
Number of pages17
JournalJournal of Aging and Social Policy
Volume32
Issue number2
DOIs
StatePublished - Mar 3 2020

Keywords

  • health reform
  • Long-term services and supports
  • Medicaid
  • Medicare

ASJC Scopus subject areas

  • Demography
  • Gerontology
  • Life-span and Life-course Studies

Fingerprint

Dive into the research topics of 'Addressing Long-Term Services and Supports Reform via Medicare. Yes, Medicare, That Post-Acute Care Program'. Together they form a unique fingerprint.

Cite this