Long-Term Services and Supports Reform

Background

Due to the high cost of long-term services and supportsLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. (LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. ), many older adults fear impoverishment and becoming a burden to their families. There is limited third-party coverage to ease this fear. As the baby boom generation ages, the need for services will increase at a time where there will be fewer family caregivers People who provide long-term services and supports to family members, relatives, friends, and neighbors. Some family caregivers are unpaid; others are paid through government programs, private funds, or long-term care insurance policies. to provide such care. The uncertainty of needing LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. , and the potentially catastrophic costs associated with it, lend itself to a social insurance solution where risk and costs are shared. Spreading risk widely is the best way to expand coverage and lower per-person costs. If everyone contributes, then everyone is protected.

In 2010, the ratio of potential caregivers age 45–64 to those at high risk of needing care (age 80 and older) was 7:1. By 2030, that ratio is projected to decline sharply to 4:1 and to further fall to less than 3:1 in 2050. By that time, baby boomers will be in the high-risk years of late life. Higher divorce rates and childlessness will further diminish the availability of family care.

To address increased demand, the U.S. needs a comprehensive national policy for LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. . Without it, programs will operate in isolation and fail to best serve the millions of people with health care and LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. needs. For too long, LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. have lacked a holistic focus. A more global approach would help people overcome the full range of obstacles to living in the least restrictive setting possible and maximize their potential for self-determination. A comprehensive, person- and family-centered LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. policy would meet consumers' needs. It would also support family and friends in their caregiving role and create efficiencies in public spending.

Until a comprehensive national LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. program is implemented, states can take interim steps to ensure that LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. are affordable and fiscally sustainable both to individuals and governments. These efforts can also enhance the financial security of individuals and their families from the potential risk of impoverishment.

Found in Long-Term Services and Supports Reform