A Critical Review of the Urban Institute Model of Financing Long-Term Services and Supports

2018 ◽  
Author(s):  
Mark Warshawsky
Author(s):  
Susan C. Reinhard Reinhard ◽  
Ari Houser Houser ◽  
Enid Kassner Kassner ◽  
Robert Mollica Mollica ◽  
Kathleen Ujuari Ujuari ◽  
...  

2020 ◽  
Author(s):  
Jessica Kasten ◽  
Elizabeth Lewis ◽  
Sari Lelchook ◽  
Lynn Feinberg ◽  
Edem Hado

2020 ◽  
Author(s):  
Jessica Kasten ◽  
Elizabeth Lewis ◽  
Sari Lelchook ◽  
Lynn Feinberg ◽  
Edem Hado

2020 ◽  
Author(s):  
Jessica Kasten ◽  
Elizabeth Lewis ◽  
Sari Lelchook ◽  
Lynn Feinberg ◽  
Edem Hado

2020 ◽  
Author(s):  
Jessica Kasten ◽  
Elizabeth Lewis ◽  
Sari Lelchook ◽  
Lynn Feinberg ◽  
Edem Hado

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 717-717
Author(s):  
Edward Miller ◽  
Pamela Nadash ◽  
Marc Cohen

Abstract This presentation documents the continuing failure to tackle the problem of financing long-term services and supports (LTSS)—a failure most recently seen in the only national legislation ever enacted to comprehensively address LTSS costs: the Community Living Assistance Services and Supports (CLASS) Act. The CLASS Act was included in the Affordable Care Act, but was repealed in 2013. Subsequently, policy experts and some Democrats have made proposals for addressing the LTSS financing crisis. Moreover, significant government action is taking place at the state level, both to relieve financial and emotional burdens on LTSS recipients and their families and to ease pressure on state budgets. Lessons from these initiatives could serve as opportunities for learning how to overcome roadblocks to successful policy development, adoption, and implementation across states and for traversing the policy and political tradeoffs should a policy window open once again for addressing the problem of LTSS financing nationally.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 685-685
Author(s):  
Christine Bishop ◽  
Karen Zurlo

Abstract Even with forethought and planning, a lot can threaten economic wellbeing in the years ahead for older adults retiring at typical retirement ages. Although results for any individual cannot be predicted with certainty, some risks are quantifiable: for example, mortality/ longevity and disability risks are reasonably well-defined. Risk of dementia is not so well understood, and may be changing. Financial risk might be seen as manageable, but older adults relying on retirement income sources can be especially vulnerable to unprecedented shocks to the general economy. We consider four aspects of this dilemma. First, older adults retiring with outstanding debts may have difficulty weathering financial shocks. Our first presentation provides up-to-date information about trends in indebtedness at older ages, especially focusing on newly salient types of indebtedness: medical and student loan debt, and debt incurred to smooth finances in the recent recession. Stewardship of finances during retirement can be a challenging personal management undertaking. Our second presentation will consider how dementia can complicate this process. Protection against outliving one’s resources is more complex and costlier in the era of defined contribution retirement accounts. Our third presentation will discuss strategies to combine retirement assets, including Social Security claiming, to hedge longevity risk. Finally, needs for long-term services and supports may be met with either paid or informal (family) care, or both, but cannot be predicted with certainty. Our fourth presentation examines the long-term impacts on families due to the difficulty in insuring against this risk. Economics of Aging Interest Group Sponsored Symposium.


1979 ◽  
Vol 45 (8) ◽  
pp. 628-635 ◽  
Author(s):  
E. Sandra Byers

The wilderness camp has been described as a particularly good setting for treatment of the emotionally disturbed child. This article summarizes the current literature on therapeutic camping, including the nature of existing programs, rationales for the superiority of camping as a therapeutic program, and evaluation of existing programs. The results of program evaluation research reported in the literature provide only minimal support for any particular effectiveness ascribed to therapeutic camping in terms of either short term or long term therapeutic outcome. This is seen to be largely due to inadequate investigation of the process and/or the outcome of therapeutic camping.


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