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Setting the Record Straight on Long-Term Care Policy

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Stephen Moses

Visiting Fellow

Stephen Moses is president of the Center for Long-Term Care Reform. The Center promotes universal access to top-quality long-term care by encouraging private financing as an alternative to Medicaid dependency for most Americans. Previously, Mr. Moses was president of the Center for Long- Term Care Financing (1998-2005), Director of Research for LTC, Inc., (1989-98), a senior analyst for the Inspector General of the U.S. Department of Health and Human Services (1987-89), a Medicaid state representative for the Health Care Financing Administration (1978-87), a HHS Departmental Management Intern (1975-78), and a Peace Corps Volunteer in Venezuela (1968-1970). He is widely recognized as an expert and innovator in the field of long-term care.

Brian Blase
PresidentatParagon Health Institute

Brian Blase, Ph.D., is the President of Paragon Health Institute. Brian was Special Assistant to the President for Economic Policy at the White House’s National Economic Council (NEC) from 2017-2019, where he coordinated the development and execution of numerous health policies and advised the President, NEC director, and senior officials. After leaving the White House, Brian founded Blase Policy Strategies and serves as its CEO.

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The budget debates in Washington largely ignore the growing and biggest part of the budget—health care entitlement programs. Within the next few years, rising interest payments on the massive federal debt and higher general interest rates and inflation will necessitate reforms. Policymakers should enter that debate grounded in the facts. Several recent high-profile media stories are deeply problematic because they propagate false or one-sided narratives about long-term care (LTC), an issue of growing importance as baby boomers reach age 80 and family size declines.

The New York Times’ recent series Dying Broke perpetuates the false claim that LTC wipes out the savings of most middle-class Americans who need extended care, leaving them reliant on Medicaid. And a recent AP story stokes fear about Medicaid estate recovery, particularly states coming after the homes of people who have used Medicaid for their LTC.

The most important fact for policymakers: middle class and affluent people may easily access Medicaid for their LTC needs, without having to deplete their assets first. It is the poor and underprivileged who typically lose everything due to Medicaid’s spend down rules.

The full article can be found in Townhall.

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