Perspectives: The SCAN Foundation Unveils the Long-Term Care Policy Simulator Tool

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The passage of the Patient Protection and Affordable Care Act is a great basis upon which to reform and build a comprehensive long-term care system. In this Perspectives, Dr. Chernof discusses an innovative web-based modeling tool developed in partnership with Avalere Health to enable policymakers and the public to test the budgetary implications of a wide variety of federally run long-term care insurance programs.

Date Updated: 05/13/2010

The passage of the Patient Protection and Affordable Care Act is a great basis upon which to reform and build a comprehensive long-term care system. Opportunities for improvement contained in the Act include expanded access to services, such as increases of federal matching dollars for states to expand Medicaid home and community-based services as an alternative to nursing homes, and cash support for individuals to pay some of the costs of long-term care through a brand new voluntary insurance program known as the CLASS (Community Living Assistance Services and Supports) program…

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This policy brief provides background on the historical development of benefit eligibility triggers in the private long-term care insurance market. Understanding how these triggers came into being can provide important information to those charged with implementing the CLASS Plan.

This policy brief provides information about how long-term care insurers implement benefit eligibility triggers in the private insurance market. The way in which companies have operationalized benefit eligibility triggers can inform the development of regulations for the CLASS Plan.

This policy brief provides information on the benefit eligibility assessment process in the private long-term care insurance industry. It focuses on how long-term care insurers use the information in the adjudication process, who is involved in the process, and how activities of daily living and cognition are assessed.