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Q: Long-Term Care Insurance Partnership Program ( Answered 5 out of 5 stars,   1 Comment )
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Subject: Long-Term Care Insurance Partnership Program
Category: Health > Seniors
Asked by: healthresultsgroup-ga
List Price: $150.00
Posted: 26 Feb 2006 10:39 PST
Expires: 28 Mar 2006 10:39 PST
Question ID: 701157
Hi. I am looking for links to recent reports, studies, evaluations,
journal articles, and surveys on Long-Term Care Insurance Partnership
Program (LTCIPP) in the US.  (The Long-Term Care Partnership Program
is a public-private partnership between states and private insurance
companies, designed to reduce Medicaid expenditures by delaying or
eliminating the need for some people to rely on Medicaid to pay for
long-term care services.)

Ideally, a wide mix of information and analysis published in the last
3-5 years.  From think tanks, consulting firms, organizations, trade
associations, and government agencies (federal and state).  Mix of
reports, studies, evaluations, and surveys that are pro, con, or
neutral / descriptive.  Don't need links to general advice for
consumers or buyers of long-term care insurance.  Instead, I am
looking for materials with in-depth analysis, data, and/or commentary.
 Prefer links to these publicly available materials in PDF or PPT
format.

For an example of an excellent research on another subject I recently
posted, please see: http://answers.google.com/answers/threadview?id=439263

Happy to answer any questions.  Thanks!

Request for Question Clarification by umiat-ga on 26 Feb 2006 17:08 PST
Hello, healthresultsgroup-ga! 

 I have been working on your question for a number of hours and feel I
need some clarification on your topic. The abbreviation you have
provided in your question (LTCIPP) is primarily used for another
program altogether (Long-Term Care Integrated Pilot Project), as you
can see from the following search link:
://www.google.com/search?sourceid=navclient&ie=UTF-8&rls=GGLD,GGLD:2003-47,GGLD:en&q=LTCIPP


 Am I correct in assuming that you are referring to the Long-Term Care
Partnership Program that is currently instituted in four states, as
referenced in the following abstract?:

"Started as a demonstration and limited to four states, the
Partnership combines private LTC insurance with special access to
Medicaid for those exhausting their insurance benefits."
http://www.brookings.edu/views/papers/200412retirement.htm

==


 If my assumption is correct, I must be honest in informing you that
after several hours of research, I have found no more than a handful
of articles analyzing or offering opinions on this very specific
program. While there are a number of general articles describing the
program in the various states, these are not what you have asked for.
There is also an abundance of analysis and opinion on long term care
insurance, in general, but again, this is off the mark.


 Am I performing "too narrow" of a search? Since this is all I have
found thus far, please let me know if it is acceptable or if you would
like me to expand my search parameters to bring in some accessory
information.



PDF DOCUMENTS
==============

"The Long-Term Care Partnership Program: An Overview." Briefing to
Congressional Staff. GAO-05-1021R, September 9, 2005
http://www.gao.gov/new.items/d051021r.pdf

Abstract - http://www.ctachca.org/documents/HotTopics/050909AbstractLongTermCarePartnershipAnOverviewGAO-05-1021R.pdf


==


"The Long-Term Care Partnership Program: Issues and Options." Alexis
Ahlstrom, Emily Clements, Anne Tumlinson. The Health Strategies
Consultancy LLC.  Jeanne Lambrew, George Washington University School
of Public Health and Health Services.

Full report - http://www.brookings.edu/views/papers/200412retirement.pdf

Abstract: http://www.brookings.edu/views/papers/200412retirement.htm )


===


"Annual Report For the Connecticut Partnership for Long-Term Care
Evaluation Studies." July 1, 2003 - June 30, 2004. Issued July 2005
http://www.opm.state.ct.us/pdpd4/ltc/researcher/AnnRep.pdf

Executive Summary - http://www.opm.state.ct.us/pdpd4/ltc/researcher/AnnRepSum.pdf

===

"Medicaid?s Long-Term Care Insurance Partnership Program," by Julie
Stone-Axelrad Analyst in Social Legislation. Domestic Social Policy
Division. CRS Report for Congress. Updated January 21, 2005
http://www.law.umaryland.edu/marshall/crsreports/crsdocuments/RL3261001212005.pdf

==

"Financing Long-Term Care for the Elderly." Corbis. April 2004
http://www.cbo.gov/ftpdocs/54xx/doc5400/04-26-LongTermCare.pdf

 See table 3.1 Average Annual Premiums for Policies of the Partnership for 
 Long-Term Care, 2004

 See Box 3.2 Comparing the Financial Impacts of a Partnership Policy and Other 
 Insurance  Options


== 

HOUSE OF REPRESENTATIVES STAFF ANALYSIS - BILL #: HB 371 Long-term Care Coverage."
http://www.myfloridahouse.gov/Sections/Documents/loaddoc.aspx?FileName=h0371.ELT.doc&DocumentType=Analysis&BillNumber=0371&Session=2005

==

"Connecticut Partnership Policies Can Save You Money."
http://www.opm.state.ct.us/pdpd4/ltc/Advisor/SaveMoney2005.pdf

==

"Partnership for Long-Term Care - LONG-TERM CARE INSURANCE UNIFORM
DATA SET. Reporting Requirements and Documentation." Revised September
2005
http://www.opm.state.ct.us/pdpd4/ltc/insurer/uds.pdf

==

While not solely focused on the Long Term Parnership Program, the
following papers discuss the program as one of several options:


"Public and Private Financing of Long-Term Care in Minnesota." Summary
of Legislative Report. February 2005
http://www.dhs.state.mn.us/main/groups/aging/documents/pub/dhs_id_049117.pdf


"Assessing Long-Term-Care Risk and Long-Term-Care Options," by Mary
Helen McSweeney, PhD and Peter Gomori, PhD. Presented at Managing
Retirement Assets Symposium. Sponsored by the Society of Actuaries Las
Vegas. March 31 - April 2, 2004.
http://library.soa.org/library-pdf/m-rs04-2_3.pdf


OTHER FORMATS - A COMBINATION OF ARTICLES
==========================================

"How Will States Pay for Long Term Care?" Prepared for Council on
Health Care Economics and Policy. 12th Annual Princeton Conference.
May 19-20, 2005
http://72.14.207.104/search?q=cache:pp_14ItZWAYJ:www.cshp.rutgers.edu/presentations/Council%2520HC%2520Economics%2520and%2520Policy%2520Final.doc+LTCPP&hl=en&gl=us&ct=clnk&cd=11


Scroll down to:

"There is renewed interest in federal legislation needed to clear the
way for expansion of state-level long-term care partnership programs.
Passage of the Long-Term Care Partnership Program Act would change
Medicaid's "spend down" rules that count the proceeds of
long-term-care payments against an insured's eligibility for Medicaid
programs.....The experience in the Long-Term Care Partnership states
offers some lessons. Authorized by the Robert Wood Johnson Foundation
in 1987, almost two decades ago, this demonstration project aimed to
help states plan and implement public private partnerships that link
Medicaid and private long term care insurance to protect an
individual?s assets and possible future eligibility for Medicaid
(Meiners, McKay, & Goss, 2001). The private part of these policies is
the insurance coverage for long term care....... The Partnership
program has had some degree of success despite its complications and
political opposition at the federal level (McCall, 2001). According to
the National Association of Health Underwriters (2004), consumers in
the four Partnership states have purchased 180, 531 policies, with
148,405 still in effect.....
     
==

"Long-Term Care Partnership Examined," by Sen. Doug Cunningham. February 14, 2006
http://72.14.207.104/search?q=cache:gFdHkfcr4RgJ:www.yankton.net/stories/021406/opEd_20060214027.shtml+opinion+And+LONG+TERM+CARE+PARTNERSHIP+program+&hl=en&gl=us&ct=clnk&cd=1

==

"New law pushes long-term care coverage," By Daniel C. Vock,
Stateline.org Staff Writer. February 16, 2006
http://www.stateline.org/live/ViewPage.action?siteNodeId=136&languageId=1&contentId=89158

==

 I look foward to your input! Perhaps there is another term for this
program that I simply cannot seem to decipher.

umiat

Request for Question Clarification by umiat-ga on 26 Feb 2006 17:55 PST
Some more references for your review:

"Long Term Care Insurance Options In New York State = A Report to the
Governor and Legislature." 2005
http://www.ins.state.ny.us/acrobat/ltcrpt05.pdf

 Scroll down to page 21 - "The New York State Partnership for Long-Term Care."

-

"Primary Care Provider Satisfaction Survey." Wisconsin Partnership Program
April 2004
http://www.dhfs.state.wi.us/WIpartnership/pdf-wpp/Final%202004%20Provider%20Satisfaction%20Survey.pdf

-

Older articles:

"Partnership Quality Member Outcomes: The Initial Assessment." July
2001.  Office of Strategic Finance. Center for Delivery Systems
Development
http://www.dhfs.state.wi.us/WIpartnership/pdf-wpp/Member%20Outcomes%20Partnership070901FINAL.pdf


"CLAIMS EXPERIENCE: AN ANALYSIS OF CONNECTICUT PARTNERSHIP
POLICYHOLDER CLAIMANTS." 2002.
http://www.opm.state.ct.us/pdpd4/ltc/researcher/Dp12-2002.pdf

-

The following article might be helpful but is a bit off target:

"What We Know About Buyers and Non-Buyers of Private Long-Term Care
Insurance: A Review of Studies." LifePlans, Inc. August 2004
http://aspe.hhs.gov/daltcp/reports/LTCIlr.htm

-

An opinion;

"Dan Melson: Long Term Care Insurance: Non-Tax-Qualified versus
Tax-Qualified, and Partnership." 2005
http://powerblogs.com/pipermail/searchlight/2005-December/000323.html

-

Thanks again for any clarification you can provide if I am off track here!

Clarification of Question by healthresultsgroup-ga on 27 Feb 2006 03:41 PST
Hi.  You are correct.  This indeed is the program (now operating in
four states).  The research you've done is great.  We are all set. 
Let's go final.  Thanks!
Answer  
Subject: Re: Long-Term Care Insurance Partnership Program
Answered By: umiat-ga on 27 Feb 2006 06:01 PST
Rated:5 out of 5 stars
 
Hello, healthresultsgroup-ga! 

 Thank you for accepting my research. I have gone ahead and posted the
links from my clarifications below - but I added a few more references
at the beginning which offer a bit of information on the subject as
well.


From "Long-Term Care: A Survey of New York AARP Members." AARP. March 2004
http://www.achca.org/content/pdf/aarp404.pdf

8. "Currently, the State has a program, called the New York State
Partnership for Long-Term Care, which is an incentive program for
residents to purchase longterm care insurance policies for themselves.
Are you aware of this program?"

%
25 Yes
73 No
2 NOT SURE

==

From "Statement of Mark R. Meiners, Ph.D., Professor and Director,
Center for Health Policy, Research and Ethics, George Mason
University, Arlington, Virginia. Testimony Before the Subcommittee on
Health. of the House Committee on Ways and Means. April 19, 2005.
http://waysandmeans.house.gov/hearings.asp?formmode=view&id=2596

Read portion from The Partnership Balancing Act: 

"Partnership policy sales indicate steadily growing interest in
public-private long-term care insurance policies. However, the numbers
also reveal that the public is still wary about the need for such
policies and needs positive reinforcement to consider such an
investment in their future. There are good reasons for this that
involve the differences in perspectives that have fueled the status
quo........

==

Scroll down to  - Study: 'Partnership Program' Shows No Major Impact
on Financing Long-Term Care. January 11, 2005
http://www.cmwf.org/healthpolicyweek/healthpolicyweek_show.htm?doc_id=256629

==

See relevant excerpt from "Long-Term Care for the Elderly with
Disabilities: Current Policy, Emerging Trends, and Implications for
the Twenty-First Century," By Robyn I. Stone. August 2000.
http://www.milbank.org/0008stone/

"One interesting experiment in combining public and private policies
is the Partnership for Long-Term Care, a demonstration program
sponsored by the Robert Wood Johnson Foundation to promote the
development of private funding sources for long-term care (Cohen,
1997; McCall, 1997). The Partnership, implemented in four states -
California, Connecticut, Indiana, and New York = uses private
insurance to cover the initial costs of long-term care (Meiners and
McKay, 1989); Medicaid pays for services after private insurance
coverage is exhausted. Two models have been developed: a
Dollar-for-Dollar Disregard model in California, Connecticut, and
Indiana and a Total Asset Disregard model in New York. In the first
model, consumers purchase private insurance coverage equal to the
amount of assets they wish to protect. When the private benefits are
exhausted, those assets are disregarded in determining eligibility for
Medicaid. The New York model requires that consumers purchase three
years of private nursing home or six years of home care coverage, and
all of the insured's assets are protected once the private benefits
have been exhausted."

"One major limitation of this demonstration program - and of the
development of the private long-term insurance market as a whole - is
the time lag between the purchase of a policy and the filing of a
claim. Consequently, the Partnership demonstration has yet to obtain
empirical evidence of its successes or failures. But interesting
information on the purchasers of these products is already available
(McCall et al., 1997). Partnership purchasers were older, had smaller
families, and were much more highly educated than the comparison
sample of individuals aged 55 to 75 who were not covered by Medicaid.
They were also more likely to be female, white, in reportedly good or
excellent health, and in a relatively high income bracket. The
Partnership sample was also more likely than the comparison group to
disagree with the statement "Medicare currently provides sufficient
coverage for long-term care" and was much less likely to believe that
government will pay for long-term care if they need it in the future.
This study identified the Partnership purchasers as a self-reliant
group, whose decisions to purchase insurance were based upon the
desire to maintain independence and preserve income and choice, rather
than upon a desire to leave an inheritance."

==

See "Report 6 of the Report of the Council on Medical Servide (I-05) -
Policy Options for Addressing Medicaid Long-Term Care. Executive
Summary." November 2005.
http://www.ama-assn.org/ama1/pub/upload/mm/372/i-05cmsreport6.pdf

* Scroll down to section titled "Public-Private Partnerships for LTCI."




The following links have already posted via clarification:


PDF DOCUMENTS
==============

"The Long-Term Care Partnership Program: An Overview." Briefing to
Congressional Staff. GAO-05-1021R, September 9, 2005
http://www.gao.gov/new.items/d051021r.pdf

Abstract - http://www.ctachca.org/documents/HotTopics/050909AbstractLongTermCarePartnershipAnOverviewGAO-05-1021R.pdf


==


"The Long-Term Care Partnership Program: Issues and Options." Alexis
Ahlstrom, Emily Clements, Anne Tumlinson. The Health Strategies
Consultancy LLC.  Jeanne Lambrew, George Washington University School
of Public Health and Health Services.

Full report - http://www.brookings.edu/views/papers/200412retirement.pdf

Abstract: http://www.brookings.edu/views/papers/200412retirement.htm )


===


"Annual Report For the Connecticut Partnership for Long-Term Care
Evaluation Studies." July 1, 2003 - June 30, 2004. Issued July 2005
http://www.opm.state.ct.us/pdpd4/ltc/researcher/AnnRep.pdf

Executive Summary - http://www.opm.state.ct.us/pdpd4/ltc/researcher/AnnRepSum.pdf

===

"Medicaid?s Long-Term Care Insurance Partnership Program," by Julie
Stone-Axelrad Analyst in Social Legislation. Domestic Social Policy
Division. CRS Report for Congress. Updated January 21, 2005
http://www.law.umaryland.edu/marshall/crsreports/crsdocuments/RL3261001212005.pdf

==

"Financing Long-Term Care for the Elderly." Corbis. April 2004
http://www.cbo.gov/ftpdocs/54xx/doc5400/04-26-LongTermCare.pdf

 See table 3.1 Average Annual Premiums for Policies of the Partnership for 
 Long-Term Care, 2004

 See Box 3.2 Comparing the Financial Impacts of a Partnership Policy and Other 
 Insurance  Options

== 

HOUSE OF REPRESENTATIVES STAFF ANALYSIS - BILL #: HB 371 Long-term Care Coverage."
http://www.myfloridahouse.gov/Sections/Documents/loaddoc.aspx?FileName=h0371.ELT.doc&DocumentType=Analysis&BillNumber=0371&Session=2005

==

"Connecticut Partnership Policies Can Save You Money."
http://www.opm.state.ct.us/pdpd4/ltc/Advisor/SaveMoney2005.pdf

==

"Partnership for Long-Term Care - LONG-TERM CARE INSURANCE UNIFORM
DATA SET. Reporting Requirements and Documentation." Revised September
2005. http://www.opm.state.ct.us/pdpd4/ltc/insurer/uds.pdf

==

While not solely focused on the Long Term Parnership Program, the
following papers discuss the program as one of several options:


"Public and Private Financing of Long-Term Care in Minnesota." Summary
of Legislative Report. February 2005
http://www.dhs.state.mn.us/main/groups/aging/documents/pub/dhs_id_049117.pdf


"Assessing Long-Term-Care Risk and Long-Term-Care Options," by Mary
Helen McSweeney, PhD and Peter Gomori, PhD. Presented at Managing
Retirement Assets Symposium. Sponsored by the Society of Actuaries Las
Vegas. March 31 - April 2, 2004.
http://library.soa.org/library-pdf/m-rs04-2_3.pdf


OTHER FORMATS - A COMBINATION OF ARTICLES
==========================================

"How Will States Pay for Long Term Care?" Prepared for Council on
Health Care Economics and Policy. 12th Annual Princeton Conference.
May 19-20, 2005
http://72.14.207.104/search?q=cache:pp_14ItZWAYJ:www.cshp.rutgers.edu/presentations/Council%2520HC%2520Economics%2520and%2520Policy%2520Final.doc+LTCPP&hl=en&gl=us&ct=clnk&cd=11


Scroll down to:

"There is renewed interest in federal legislation needed to clear the
way for expansion of state-level long-term care partnership programs.
Passage of the Long-Term Care Partnership Program Act would change
Medicaid's "spend down" rules that count the proceeds of
long-term-care payments against an insured's eligibility for Medicaid
programs.....The experience in the Long-Term Care Partnership states
offers some lessons. Authorized by the Robert Wood Johnson Foundation
in 1987, almost two decades ago, this demonstration project aimed to
help states plan and implement public private partnerships that link
Medicaid and private long term care insurance to protect an
individual?s assets and possible future eligibility for Medicaid
(Meiners, McKay, & Goss, 2001). The private part of these policies is
the insurance coverage for long term care....... The Partnership
program has had some degree of success despite its complications and
political opposition at the federal level (McCall, 2001). According to
the National Association of Health Underwriters (2004), consumers in
the four Partnership states have purchased 180, 531 policies, with
148,405 still in effect.....
     
==

"Long-Term Care Partnership Examined," by Sen. Doug Cunningham. February 14, 2006
http://72.14.207.104/search?q=cache:gFdHkfcr4RgJ:www.yankton.net/stories/021406/opEd_20060214027.shtml+opinion+And+LONG+TERM+CARE+PARTNERSHIP+program+&hl=en&gl=us&ct=clnk&cd=1

==

"New law pushes long-term care coverage," By Daniel C. Vock,
Stateline.org Staff Writer. February 16, 2006
http://www.stateline.org/live/ViewPage.action?siteNodeId=136&languageId=1&contentId=89158

"Long Term Care Insurance Options In New York State = A Report to the
Governor and Legislature." 2005 
http://www.ins.state.ny.us/acrobat/ltcrpt05.pdf

 Scroll down to page 21 - "The New York State Partnership for Long-Term Care."

-

"Primary Care Provider Satisfaction Survey." Wisconsin Partnership Program
April 2004.
http://www.dhfs.state.wi.us/WIpartnership/pdf-wpp/Final%202004%20Provider%20Satisfaction%20Survey.pdf

-

Older articles:

"Partnership Quality Member Outcomes: The Initial Assessment." July
2001.  Office of Strategic Finance. Center for Delivery Systems Development
http://www.dhfs.state.wi.us/WIpartnership/pdf-wpp/Member%20Outcomes%20Partnership070901FINAL.pdf


"CLAIMS EXPERIENCE: AN ANALYSIS OF CONNECTICUT PARTNERSHIP
POLICYHOLDER CLAIMANTS." 2002.
http://www.opm.state.ct.us/pdpd4/ltc/researcher/Dp12-2002.pdf

-

The following article might be helpful but is a bit off target:

"What We Know About Buyers and Non-Buyers of Private Long-Term Care
Insurance: A Review of Studies." LifePlans, Inc. August 2004
http://aspe.hhs.gov/daltcp/reports/LTCIlr.htm

-

An opinion;

"Dan Melson: Long Term Care Insurance: Non-Tax-Qualified versus
Tax-Qualified, and Partnership." 2005
http://powerblogs.com/pipermail/searchlight/2005-December/000323.html

==


Search Srategy

partnership for long term care
"Partnership for Long-Term Care" analysis OR survy OR opinion
medicare long term care partnership program work OR success
analysis of "partnership policies" for long term care
partnership programs for long-term care insurance
financing long term care for the elderly
pros and cons of LONG TERM CARE PARTNERSHIP PROGRAM
healthresultsgroup-ga rated this answer:5 out of 5 stars and gave an additional tip of: $50.00
Great job!  Thanks.

Comments  
Subject: Re: Long-Term Care Insurance Partnership Program
From: umiat-ga on 27 Feb 2006 13:56 PST
 
Thank you for your kind words and extremely generous tip. It is a
pleasure working with you!

umiat

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