Medicaid/CHIP: Long-Term Care - Kaiser Family Foundation

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Medicaid/CHIP: Long-Term Care

The Sleeper in Health Reform: Long-Term Care and the CLASS Act
A component of two major health reform proposals in Congress would establish a national voluntary program to allow for voluntary pre-financing of long-term care through payroll deductions and then provide a cash benefit to purchase services. See an archived webcast of a Kaiser briefing on this major provision, known as the Community Living Assistance Services and Supports (CLASS) Act.

Key Issues in Medicaid Home and Community-Based Services
Two briefs examine current issues in providing more people who need long-term care services and supports access to these Medicaid services in home and community-based settings rather than in institutional ones.

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The Sleeper in Health Reform: Long-Term Care and the CLASS Act -- October 2009

This Kaiser briefing examines the Community Living Assistance Services and Supports (CLASS) Act, a provision in two leading health reform bills that would establish a national voluntary insurance program to allow for voluntary pre-financing of long-term care through payroll deductions and then provide a cash benefit to purchase services.

The Crunch Continues: Medicaid Spending, Coverage and Policy in the Midst of a Recession -- September 2009

Our annual 50-state survey finds that number of people on Medicaid and state spending on the program are climbing sharply as a result of the recession, straining state budgets and pressuring officials to curb costs despite increased financial help from the federal government through the American Recovery and Reinvestment Act (ARRA).

Medicaid Benefits: Online Database -- September 2009
This searchable database, updated to include data through October 2008, houses comprehensive information on Medicaid benefits in the 50 states, the District of Columbia and the U.S. territories. It includes data about 46 services, including whether the benefit is covered, the populations that are eligible to receive various benefits, and the limitations, co-payments and payment rules that apply to the benefits.

Key Issues in Medicaid and Home and Community-Based Services and Support -- September 2009

These briefs examine current issues in providing more people who need long-term care services and supports access to these Medicaid services in home and community-based settings rather than in institutional ones.

Health Reform Opportunities: Improving Policy for Dual Eligibles -- August 2009
This brief provides an overview of opportunities under health reform to realign federal and state policy for the dual eligibles to promote a more rational, cost-efficient system for 9 million of the poorest, sickest and highest-cost people covered by both Medicaid and Medicare.

Money Follows the Person: An Early Implementation Snapshot -- June 2009

This issue brief examines the early successes and challenges of the Money Follows the Person Demonstration, a Medicaid initiative enacted into law in 2006 that gives states enhanced federal support to balance their Medicaid long-term care programs by providing more services in the community and fewer in institutional settings.

Examing the Role of Private Long-Term Care Insurance in the Financing of Long-Term Care -- June 2009
This policy brief and related congressional testimony examine the fundamentals of private long-term care insurance, including how consumers buy policies, how much policies cost and how they work, and what regulations exist to protect consumers. They also discuss the challenges of possibly enlarging the role of private long-term care insurance in financing long-term care.

Closing the Long-Term Care Funding Gap: The Challenge of Private Long-Term Care Insurance -- June 2009

This policy brief examines the fundamentals of private long-term care insurance, including how consumers buy policies, how much policies cost and how they work, and what regulations exist to protect consumers. It also discuss the challenges of possibly enlarging the role of private long-term care insurance in financing long-term care

Filling In The Long-Term Care Gaps -- June 2009

At a June 3 hearing of the Senate Special Committee on Aging, Diane Rowland, Executive Vice President of the Kaiser Family Foundation and Executive Director on the Kaiser Commission on Medicaid and the Uninsured, testified on the key challenges to providing a larger role for private long-term care insurance in financing long-term care for the elderly and people with disabilities.

Medicaid and Long-Term Care Services and Supports -- February 2009

This fact sheet provides an overview of long-term care services, delivery of such services, and the large role Medicaid plays in financing long-term care.

This searchable database, updated to include data through October 2008, houses comprehensive information on Medicaid benefits in the 50 states, the District of Columbia and the U.S. territories. It includes data about 46 services, including whether the benefit is covered, the populations that are eligible to receive various benefits, and the limitations, co-payments and payment rules that apply to the benefits.

This brief provides an overview of opportunities under health reform to realign federal and state policy for the dual eligibles to promote a more rational, cost-efficient system for 9 million of the poorest, sickest and highest-cost people covered by both Medicaid and Medicare.

This policy brief and related congressional testimony examine the fundamentals of private long-term care insurance, including how consumers buy policies, how much policies cost and how they work, and what regulations exist to protect consumers. They also discuss the challenges of possibly enlarging the role of private long-term care insurance in financing long-term care.

This fact sheet provides an overview of long-term care services, delivery of such services, and the large role Medicaid plays in financing long-term care.

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Long-Term Care

Medicaid is the major source of financing for long-term care for the elderly and persons with disabilities, accounting for 42 percent of national spending on long-term care and almost 50 percent of spending on nursing home care. Medicaid provides critical assistance to people with long-term care needs in the community and nursing homes, covering services often excluded from Medicare and private insurance.