scholarly journals Association of Medicaid Expansion Under the Patient Protection and Affordable Care Act With Use of Long-term Care

2020 ◽  
Vol 3 (10) ◽  
pp. e2018728
Author(s):  
Courtney Harold Van Houtven ◽  
Brian E. McGarry ◽  
Eric Jutkowitz ◽  
David C. Grabowski
Keyword(s):  
Affordable Care Act ◽  
Long Term Care ◽  
Medicaid Expansion ◽  
Term Care ◽  
Patient Protection

Medicaid

2014 ◽  
Author(s):  
Colleen Grogan ◽  
Christina M. Andrews
Keyword(s):  
Affordable Care Act ◽  
Long Term Care ◽  
The Political ◽  
Political Environment ◽  
Medicaid Expansion ◽  
Term Care ◽  
Political Dynamics ◽  
Future Direction ◽  
Over Time

Medicaid’s intergovernmental design with a generous federal matching rate and substantial state discretion has fostered gradual but steady expansions of the program over time. Gradual growth creates a favorable political environment in which each expansion creates a political constituency for Medicaid—among provider groups and enrollees—who then fight against retrenchment. Yet, as program expenditures continue to increase, especially during fiscally distressed times, the partisan divide over the future direction of Medicaid becomes more stark. These are the political dynamics that will define how states struggle with the Affordable Care Act (ACA) Medicaid expansion and also how states attempt to provide long-term care financing and services under their Medicaid programs.

Medicaid Expansion

2018 ◽  
Vol 2 (2) ◽  
pp. 42-53
Author(s):  
Mary Schmeida ◽  
Ramona McNeal
Keyword(s):  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
Patient Protection ◽  
Level Data

U.S. longevity is placing a demand on long-term care services for the impaired and elderly. Medicaid is the primary insurance program in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from costly facilities toward home and community-based care. Not all states choose to expand their Medicaid long-term care program despite the financial incentive, but instead they continue spending on nursing facility care despite the less costly option of community care. This article explores why some states have been reluctant to expand long-term care into the community. Regression analysis and 50 state-level data is used.

Not Such a CLASS Act: America’s Long-Term Care Problem

The Forum ◽  
2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Robert P. Saldin
Keyword(s):  
Affordable Care Act ◽  
Long Term Care ◽  
Policy Area ◽  
Term Care ◽  
Obama Administration ◽  
The Us ◽  
The Affordable Care Act ◽  
Primary Payer

AbstractLong-term care is a serious but largely unrecognized problem in the US. The CLASS Act was a new program embedded within the Affordable Care Act that was supposed to bring relief to disabled individuals and Medicaid, the primary payer for long-term care. However, the program had an unworkable design, and it was eventually abandoned by the Obama administration. CLASS’ flaws were largely the product of a policy area in which ignorance and misinformation render any effective and fiscally sound program politically unfeasible. As such, the rise and fall of the CLASS Act highlights the profound challenges facing any attempt to pass serious long-term care reform and underscores the need to raise awareness of America’s long-term care challenge.

The effect of the Affordable Care Act on Medicaid payments in long-term care facilities

2020 ◽  
pp. 1-8
Author(s):  
Victoria Walker ◽  
Morgan Ruley ◽  
Laikyn Nelson ◽  
Whitney Layton ◽  
Alberto Coustasse
Keyword(s):  
Affordable Care Act ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
The Affordable Care Act

scholarly journals Partnership Program for long-term care insurance: the right model for addressing uncertainties with the future?

2015 ◽  
Vol 36 (9) ◽  
pp. 1779-1793 ◽  
Author(s):  
SAVANNAH BERGQUIST ◽  
JOAN COSTA-FONT ◽  
KATHERINE SWARTZ
Keyword(s):  
Affordable Care Act ◽  
Long Term Care ◽  
The United States ◽  
Term Care ◽  
Middle Income ◽  
Large Numbers ◽  
Long Term Care Insurance ◽  
The Right ◽  
Partnership Program

ABSTRACTPublic policies that provide incentives for higher middle-income people to purchase private long-term care insurance (LTCI) have been proposed as a way to shield large numbers of middle-income people from the risk of needing costly long-term care. A proposal to promote purchases of private LTCI that has gained modest traction in the United States of America is the Partnership Program. The structure and public–private nature of the Partnership Programs are reviewed along with the trends in sales of both regular private LTCI policies and Partnership LTCI policies to show that both experienced low purchase rates. Implementation efforts for the Partnership Programs were very modest, in part because many were launched when the Affordable Care Act was passed. At the same time, several well-known insurers withdrew from selling private LTCI. Understanding why the Partnership Program is not a success provides lessons for other counties interested in creating similar public–private ventures.

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

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