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• catalog abstract "The United states is engaged in a critically important and contentious debate on how to overhaul the health care system. The Clinton administration's call for major health care reform has brought national attention to solving the dual problems of uncontrolled cost increases and the lack of adequate health insurance. Although this debate focuses primarily on acute care, it is also about long-term care and about how to restructure the way that care is financed. Today the families of Americans suffering from chronic conditions that require long-term care either at home or in nursing homes often face financial catastrophe. With the ever-increasing elderly population the need to address long-term care financing is more crucial than ever. Sharing the Burden examines a wide range of financing approaches to reforming long-term care and the impacts each would have over the next twenty-five years. It tackles the central issue in the long-term care debate - the relative roles of the public and private sectors. The authors urge that private insurance be encouraged and predict that it will grow. Nevertheless, private insurance will probably play a modest role in financing nursing home and at-home care. For this reason, careful attention must also be given to reforming public programs. They recommend a strategy that includes expanded social insurance covering more at-home care and limited nursing home care, liberalized eligibility requirements for medicaid so that complete impoverishment is not required before benefits are given, and an enhanced role for private insurance to provide asset protection to the upper-middle-income and wealthy elderly. . Using their original computer simulation model, the authors examine the costs of various public and private initiatives and who would pay for them. They conclude that the best strategy for reforming long-term care is a mix of public and private initiatives and, within the public sector, a combination of social insurance and medicaid changes. This book underscores the urgent need to restructure the American health care system and provides essential information for everyone concerned about its future.".
• catalog contributor b6274378.
• catalog contributor b6274379.
• catalog contributor b6274380.
• catalog coverage "United States".
• catalog created "c1994.".
• catalog date "1994".
• catalog date "c1994.".
• catalog dateCopyrighted "c1994.".
• catalog description ". Using their original computer simulation model, the authors examine the costs of various public and private initiatives and who would pay for them. They conclude that the best strategy for reforming long-term care is a mix of public and private initiatives and, within the public sector, a combination of social insurance and medicaid changes. This book underscores the urgent need to restructure the American health care system and provides essential information for everyone concerned about its future.".
• catalog description "1. Introduction and Summary -- 2. The Model and Base Case -- 3. Private Long-Term Care Insurance -- 4. Public Subsidies for Private Long-Term Care Insurance -- 5. High-Quality Private Insurance: Can We Get There from Here? -- 6. Public Strategies: Liberalized Medicaid -- 7. Public Strategies: Social Insurance -- 8. Social Insurance: Design and Administrative Issues -- 9. Paying for a Public Program -- 10. What Is to Be Done? Recommendations for Reforming Long-Term Care -- App. A: The Brookings-ICF Long-Term Care Financing Model -- App. B: Pricing Methodology for Prototype Private Long-Term Care Insurance Policies -- App. C: Social Insurance without Medicaid Liberalization: Simulation Assumptions and Results -- App. D: Public Opinion Polls.".
• catalog description "For this reason, careful attention must also be given to reforming public programs. They recommend a strategy that includes expanded social insurance covering more at-home care and limited nursing home care, liberalized eligibility requirements for medicaid so that complete impoverishment is not required before benefits are given, and an enhanced role for private insurance to provide asset protection to the upper-middle-income and wealthy elderly.".
• catalog description "Includes bibliographical references (p. 245-281) and index.".
• catalog description "Sharing the Burden examines a wide range of financing approaches to reforming long-term care and the impacts each would have over the next twenty-five years. It tackles the central issue in the long-term care debate - the relative roles of the public and private sectors. The authors urge that private insurance be encouraged and predict that it will grow. Nevertheless, private insurance will probably play a modest role in financing nursing home and at-home care.".
• catalog description "The United states is engaged in a critically important and contentious debate on how to overhaul the health care system. The Clinton administration's call for major health care reform has brought national attention to solving the dual problems of uncontrolled cost increases and the lack of adequate health insurance. Although this debate focuses primarily on acute care, it is also about long-term care and about how to restructure the way that care is financed.".
• catalog description "Today the families of Americans suffering from chronic conditions that require long-term care either at home or in nursing homes often face financial catastrophe. With the ever-increasing elderly population the need to address long-term care financing is more crucial than ever.".
• catalog extent "xix, 290 p. :".
• catalog hasFormat "Sharing the burden.".
• catalog identifier "0815793774 (pbk. : alk. paper) :".
• catalog identifier "0815793782 (cloth : alk. paper) :".
• catalog isFormatOf "Sharing the burden.".
• catalog issued "1994".
• catalog issued "c1994.".
• catalog language "eng".
• catalog publisher "Washington, D.C. : Brookings Institution,".
• catalog relation "Sharing the burden.".
• catalog spatial "United States".
• catalog spatial "United States.".
• catalog subject "1994 G-086".
• catalog subject "368.3/8/00973 20".
• catalog subject "HD7102.U4 W48 1994".
• catalog subject "Insurance, Long-Term Care economics United States.".
• catalog subject "Insurance, Long-Term Care economics".
• catalog subject "Long-term care insurance United States.".
• catalog subject "W 275 AA1 W495s 1994".
• catalog tableOfContents "1. Introduction and Summary -- 2. The Model and Base Case -- 3. Private Long-Term Care Insurance -- 4. Public Subsidies for Private Long-Term Care Insurance -- 5. High-Quality Private Insurance: Can We Get There from Here? -- 6. Public Strategies: Liberalized Medicaid -- 7. Public Strategies: Social Insurance -- 8. Social Insurance: Design and Administrative Issues -- 9. Paying for a Public Program -- 10. What Is to Be Done? Recommendations for Reforming Long-Term Care -- App. A: The Brookings-ICF Long-Term Care Financing Model -- App. B: Pricing Methodology for Prototype Private Long-Term Care Insurance Policies -- App. C: Social Insurance without Medicaid Liberalization: Simulation Assumptions and Results -- App. D: Public Opinion Polls.".
• catalog title "Sharing the burden : strategies for public and private long-term care insurance / Joshua M. Wiener, Laurel Hixon Illston, Raymond J. Hanley.".
• catalog type "text".