Persons with Disabilities: Issues in Health Care Financing and Service DeliveryJoshua M. Wiener, Steven B. Clauser, David L. Kennell Brookings Institution Press, 2010 M12 1 - 336 pages A key issue in the debate about reforming the U.S. health care system is how to finance and organize the delivery of long-term care. This volume offers perspectives on several important facets of this problem, including the regulation of private long-term care insurance, catastrophic out-of-pocket costs, and the use of long-term care and acute care services by the chronically disabled elderly. In addition to the editors, the contributors are Lisa Alecxih, David Kennell, and John Corea, Lewin-VHI; Brian Burwell and William Crown, SysteMetrics; Terry Coughlin, Korbin Liu, and Sharon Long, Urban Institute; Judith Kasper, Johns Hopkins University; Kenneth Manton and P.J. Eric Stallard, Duke University; Jennifer Schore, Mathematica Policy Research; Catherine Sullivan, Brookings; and Bruce Vladeck, Health Care Financing Administration. Dialogues on Public Policy |
Contents
Introduction | 1 |
Overall Perspectives | 17 |
LongTerm Care The View from the Health Care Financing Administration | 19 |
PublicPrivate Interactions | 27 |
Private LongTerm Care Insurance Barriers to Purchase and Retention | 29 |
Medicaid Estate Planning Case Studies of Four States | 61 |
Use and Expenditures for Paid Services | 93 |
Implications of Health Care Financing Delivery and Benefit Design for Persons with Disabilities | 95 |
Cognitive Impairment in Older People and Use of Physician Services and Inpatient Care | 164 |
Catastrophic Costs of LongTerm Care for Elderly Americans | 182 |
Home and CommunityBased Care | 213 |
Characteristics and Outcomes of Persons Screened into Connecticuts 2176 Program | 215 |
Combining Formal and Informal Care in Serving Frail Elderly Persons | 245 |
Regional Variation in the Use of Medicare Home Health Services | 267 |
LongTerm Care for the Younger Population A Policy Synthesis | 291 |
Program Payment and Utilization Trends for Medicare Beneficiaries with Disabilities | 117 |