Long Term Care Discussion Group
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The Long Term Care Discussion Group

A voluntary independent group that meets solely for the purpose
of educating the policy community on all facets of long term care

April 26, 2018
1:00 – 2:00 pm EST

America’s Health Insurance Plans (AHIP)
601 Pennsylvania Avenue NW
South Building Suite 500

Dial in: 866-396-1316
Code: 202-778-3202

A New Public-Private Partnership:
Catastrophic Public and Front-End Private LTC Insurance

Speakers: Marc Cohen and Judy Feder
(co-author Melissa Favreault)

A fundamental LTSS financing problem is the absence of an effective insurance mechanism to protect people against the costs of extensive LTSS they may require over the course of their lives. Building on recent bipartisan recommendations, the authors of this recent paper discuss a proposal to combine public catastrophic insurance with gap-filling private insurance to promote comprehensive insurance protection focused on middle-income people.
The analysis uses the Urban Institute’s dynamic microsimulation model (DYNASIM) to project how public catastrophic protection with either an income-related or a flat waiting period would alter the scope of services, individual or family out-of-pocket costs, and Medicaid obligations for people ages 65 and over, relative to the current LTSS financing system. The model also explores the estimated tax costs of financing the proposals.  The speakers will discuss key issues in development and analysis of the proposal as well as the findings with regard to program costs, Medicaid savings, impact on out of pocket costs and tax implications. Other political and social considerations will also be discussed.

Dr. Marc A. Cohen, Ph.D., is Clinical Professor in the Department of Gerontology at the McCormack Graduate School and Director of the Center for LTSS and also Research Director of the Center for Consumer Engagement and Health System Transformation at Community Catalyst. Prior to joining UMass Boston, Marc Cohen was the chief research and development officer and former president and co-founder of LifePlans, Inc., a LTC research and risk management company working with both the public and private sector on issues related to the finance and delivery of LTSS.
Dr. Cohen has conducted extensive research and analysis on a variety of public policy issues affecting the financing and delivery of LTC and has promoted public-private partnerships in helping to address the nation’s challenges. He has testified before Congress, the Bipartisan Policy Center, and other organizations on issues related to LTC financing and private insurance. He served on Governor Deval Patrick’s Task Force on Long-Term Care Financing for the Commonwealth of Massachusetts and most recently he served on the Steering Committee of the Long-Term Care Financing Collaborative, which recently published its recommendations for improving the nation’s financing of LTC. He holds a PhD in Advanced Studies in Social Welfare from Brandeis University’s Florence Heller Graduate School and an MPP from Harvard University’s Kennedy School of Government

Dr. Judy Feder, Ph.D., is Professor of the McCourt School of Public Policy at Georgetown University and a Fellow at the Urban Institute in Washington DC. She is a nationally recognized leader in health policy with regard to both scholarship and public service. She began her health policy research at the Brooking Institution. In the late 1980s, she moved from policy research to policy leadership, promoting effective health reform as staff director of the congressional Pepper Commission. She was principal deputy assistant secretary for planning and evaluation at the Department of Health and Human Services and a senior fellow at the Center for American Progress before returning to Urban.

As dean, Feder built Georgetown’s Public Policy Institute into one of the nation’s leading schools. She is an elected member of the Institute of Medicine, the National Academy of Public Administration, and the National Academy of Social Insurance; a former chair and board member of Academy Health; a member of the Center for American Progress Action Fund Board, the Board of the National Academy of Social Insurance, and the Hamilton Project’s Advisory Council; and a senior advisor to the Kaiser Commission on Medicaid and the Uninsured. In 2006 and 2008, she was the Democratic nominee for Congress in Virginia’s 10th congressional district.

Telephone dial-in information is provided above.

For those participating by telephone, the meeting materials (once available) will be posted at our website: http://www.ltcdiscussiongroup.org on the ARCHIVES page.

RSVP to ltcdiscussiongroup@gmail.com. Please indicate whether you will attend by phone or in person. 
RSVP in advance is required for admittance due to building security.

Long Term Care Discussion Group Co-Chairs:
Susan Coronel, John Cutler, Melissa Favreault, Wendy Fox-Grage,
Ruth Katz, Karl Polzer, and Eileen J. Tell

Long Term Care Discussion Group meetings are intended as forums for candid discussion. Dialogue and comments made during these meetings should be treated as off the record.

For more information about the Long Term Care Discussion Group, and to access materials and information from previous meetings, visit www.ltcdiscussiongroup.org
Long Term Care Discussion Group
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