Field of Work: Financing long-term-care insurance for elderly people
Problem Synopsis: Concern about the financing of long-term care is based on a set of grim predictions: The population of chronically ill elderly will inevitably increase with the population growth of those older than age 80 and with medical advances that enable those with chronic diseases to survive longer. A number of commissions at the federal and state levels have defined the need for insurance for the growing number of elderly Americans who have or will develop chronic illnesses.
Synopsis of the Work: Authorized in 1987, the Program to Promote Long-Term Care Insurance for the Elderly (LTCI), a national program of the Robert Wood Johnson Foundation (RWJF), was charged with providing states with resources to plan and implement private/public partnerships (Partnership programs) that would join private, long-term care insurance with Medicaid to offer high-quality insurance protection against impoverishment from the costs of long-term care-including both nursing home care and/or home care.
In March 1989 RWJF commissioned Laguna Research Associates, Inc., of San Francisco, Calif., to conduct an evaluation of the national program. Findings include: