Opportunities in the Affordable Care Act to Advance Long-Term Services and Supports: The Role of Rehabilitation Counseling

2012 ◽  
Vol 26 (1) ◽  
pp. 55-66
Author(s):  
Caldwell Joe ◽  
J. Alston Reginald
Keyword(s):  
Affordable Care Act ◽  
Rehabilitation Counseling ◽  
Rehabilitation Counselors ◽  
Term Care ◽  
Persons With Disabilities ◽  
Long Term Care Insurance ◽  
The Affordable Care Act ◽  
Services And Supports

The Affordable Care Act includes many new provisions for long-term services and supports (LTSS). Among these are several new options, improvements, and incentives within Medicaid to balance service systems and expand access to home and community-based services. In addition, the Affordable Care Act authorizes the establishment of a new voluntary national long-term care insurance program, the Community Living Assistance Services and Supports (CLASS) Program. This article discusses some of the major provisions and implementation. It also examines how the major principles of rehabilitation counseling are central to advancing LTSS policy and how rehabilitation counselors can play a key role in ensuring quality LTSS services for persons with disabilities.

Private Long-Term Care Insurance and State Tax Incentives

2009 ◽  
Vol 46 (3) ◽  
pp. 305-321 ◽  
Author(s):  
David G. Stevenson ◽  
Richard G. Frank ◽  
Jocelyn Tau
Keyword(s):  
Long Term Care ◽  
Private Insurance ◽  
Tax Incentives ◽  
National Data ◽  
Term Care ◽  
State Tax ◽  
Long Term Care Insurance

To increase the role of private insurance in financing long-term care, tax incentives for long-term care insurance have been implemented at both the federal and state levels. To date, there has been surprisingly little study of these initiatives. Using a panel of national data, we find that market take-up for long-term care insurance increased over the last decade, but state tax incentives were responsible for only a small portion of this growth. Ultimately, the modest ability of state tax incentives to lower premiums implies that they should be viewed as a small piece of the long-term care financing puzzle.

Examining the role of commercial long-term care insurance in long-term care services

2019 ◽  
Vol 37 (2) ◽  
pp. 565-578 ◽  
Author(s):  
Tsu-Wei Yu ◽  
Lu-Ming Tseng
Keyword(s):  
Service Quality ◽  
Relationship Satisfaction ◽  
Long Term Care ◽  
Customer Relationships ◽  
Term Care ◽  
Policy Makers ◽  
Content Type ◽  
Long Term Care Insurance

PurposeThe purpose of this paper is to explore the role of commercial long-term care insurance (LTCI) in long-term care (LTC) services, and to elucidate the mediating roles of service quality and relationship satisfaction in the relationship between customization and loyalty. In addition, this study offers important recommendations for policy makers in formulating policy aimed at supporting the industry and regulating its customer relationships in life insurers in Taiwan.Design/methodology/approachStudy participants were policyholders of life insurance in Taiwan with experience in purchasing commercial LTCI. They were investigated through in-depth interviews and surveys. The hypotheses were tested using the structural equation modeling (SEM) analysis of variance.FindingsThe findings of this study are important for policy makers in formulating policy aimed at supporting the industry and regulating its customer relationships.Originality/valueThis study represents the first attempt to investigate the role of LTCI in LTC services in Taiwan. Likewise, this study improves our understanding of the main issues relating to the effect of customization on policyholder loyalty, and the partially mediating role of service quality and relationship satisfaction in the insurance marketing context.

Home Visiting Nurse Service Duration and Factors Related to Institution Admission

2016 ◽  
Vol 29 (1) ◽  
pp. 46-52
Author(s):  
Takashi Naruse ◽  
Mahiro Fujisaki-Sakai ◽  
Satoko Nagata
Keyword(s):  
Home Visiting ◽  
Cox Regression ◽  
Client Characteristics ◽  
Term Care ◽  
Persons With Disabilities ◽  
Cox Regression Analysis ◽  
Long Term Care Insurance ◽  
Insurance Data

To empirically measure the quality of home visiting nursing (HVN) agencies in Japan, we longitudinally observed the duration of clients’ HVN use and identified the factors correlated with hospitalization/institutionalization. Medical and long-term care insurance data were analyzed from 1,722 persons with disabilities aged at least 75 years who began using an HVN. At the 12-month follow-up, 67.7% of clients were no longer using the HVN; among these, 48.9% were hospitalized/institutionalized and 23.6% had died. Cox regression analysis showed that risk of hospitalization/institutionalization in HVN agencies depends on client characteristics at service commencement. Measuring the quality of HVN agencies by weighting clients’ characteristics as risk factors for hospitalization and/or institutionalization may be appropriate.

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.

Long-Term Care

2018 ◽  
Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre
Keyword(s):  
Social Insurance ◽  
Long Term Care ◽  
Private Insurance ◽  
Care Needs ◽  
Term Care ◽  
The Family ◽  
Two Factors ◽  
Long Term Care Insurance

This chapter is concerned with the rise in long-term care needs. Long-term care concerns individuals who are no longer able to carry out basic daily activities. Most of the care is currently provided by informal caregivers, mainly the family, while the role of formal care provided by the state or the market remains small. The chapter explains, however, why informal care is expected to decline and analyses the low private insurance development, the so-called long-term care insurance puzzle. These two factors, the decreasing role of the family and a thin insurance market, plead for the development of a full fledge social insurance for long-term care. The chapter then looks at the optimal design of such an insurance.

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