Consensus Framework for Long-Term Care Financing Reform

The Long-Term Care Financing Collaborative, an ad hoc group representing a broad ideological spectrum of independent policy experts as well as representatives of consumer groups, the insurance industry, and service providers, has proposed major changes in the way long-term supports and services are financed and delivered. Its recommendations include creation of a public, universal insurance program and significant changes to Medicaid aimed at making the program more flexible. The Urban Institute’s Howard Gleckman was a co-convener of the Collaborative, which relied heavily on modeling results developed through the Urban Institute’s Dynasim3 retirement and aging microsimulation model.