Caring for the Disabled Elderly Who Will Pay?

by Rivlin, Alice M.; Wiener, Joshua M.

• ISBN13: 9780815774976
• ISBN10: 0815774974
• Format: Paperback
• Copyright: 1988-05-01
• Publisher: Brookings Institution Press

Summary

Caring for the Disabled Elderlyanalyzes the major options for reforming the way long-term care is financed. It first explores the potential market for private long-term care insurance and other private sector initiatives. Then it turns to the advantages and disadvantages of various public sector programs. The study recommends both a greatly expanded role for the private sector in financing long-term care and a new public insurance program.

Table of Contents

The Brookings Institution	p. v
Foreword	p. vii
The Brookings Advisory Panel on Long-Term Care	p. ix
Overview	p. 1
Introduction and Summary	p. 3
The Model and the Base Case	p. 30
Private Sector Strategies for Reform	p. 51
Introduction to Private Sector Strategies	p. 53
Private Long-Term Care Insurance	p. 59
Continuing Care Retirement Communities	p. 83
Social/Health Maintenance Organizations	p. 96
Individual Medical Accounts	p. 109
Home Equity Conversions	p. 123
Private Sector Approaches and Delivery System Reform	p. 146
Introduction to Public Sector Strategies	p. 155
Block Grants	p. 161
Family Responsibility	p. 170
Support for Unpaid Caregivers	p. 179
Expanded Home Care	p. 190
Liberalized Medicaid	p. 203
Public Long-Term Care Insurance	p. 210
What Should Be Done?	p. 235
Recommendations for Financing Long-Term Care	p. 237
Technical Appendix	p. 249
Notes	p. 271
Index	p. 311
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