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
July 17, 2018
1:00 – 2:00 pm EST
2100 M Street, NW, 5th Floor
Dial-in instructions: 1 866 899 4679
Access Code: 660-459-517
A Conversation about Long Term Care in Germany
Matthias von Schwanenflügel, German Ministry for Families, Seniors, Women and Youth
Alison Cuellar, George Mason University
Pamela Doty, Assistant Secretary for Planning and Evaluation, US Department of Health and Human Services
Moderator: Howard Gleckman, Urban Institute
Germany introduced a social insurance program for long term care in 1994; as of 2015, the program covered 89% of the population with coverage financed through employee and employer contributions. Over the years, Germany’s social insurance program for long term care has drawn interest among U.S. policymakers – early on as one of several models being considered as the CLASS Act was in development, and more recently because of the interplay of the social insurance program with a private market component.
In this session, moderated by Howard Gleckman of the Urban Institute, we bring together a panel of experts to discuss how the German system has evolved, the role of private long term care insurance in Germany, workforce challenges, and what the U.S. can learn from the German experience.
Alison Cuellar is Professor in Health Administration and Policy at George Mason University and a Research Associate at the National Bureau of Economic Research. Her recent policy research focuses on health system integration, consumer satisfaction in the Virginia Dual-Eligible Financial Alignment Demonstration, and improving cardiac care in small Virginia primary care practices. She has published studies on the German long term care system. She also studies private health insurer innovations (video telehealth, wellness programs, consumer price transparency tools, patient-centered medical homes) and the intersection of behavioral health, criminal justice and Medicaid policy. Dr. Cuellar is a member of the Center for Disease Control’s Community Preventive Services Task Force. She recently served on the National Academy of Medicine’s Study Committee on Community Based Solutions to Promote Health Equity in the US and on the National Quality Forum, Measure Applications Partnership Dual Eligible Beneficiaries Workgroup. She is an Associate Editor of the Southern Economic Journal, serves on the editorial board of Medical Care Research and Review, and co-edits the Economic Grand Rounds column in Psychiatric Services.
Pamela Doty has done research and policy analysis on LTC for the elderly and people with disabilities for over four decades. She wrote her dissertation on the challenges of assuring quality of care in nursing homes. She first came to Washington, D.C. as a post-doctoral Congressional Fellow at the former Congressional Office of Technology Assessment. She worked for seven years in the Office of Legislation and Policy at CMS, transferring in 1987, to the DHHS Office of the Assistant Secretary for Planning and Evaluation. She is best known for her role, for over twenty years, as the ASPE project officer for the Cash & Counseling Demonstration and Evaluation and related research projects on self-directed services. She also worked on family caregiving, private long term care insurance, and international comparative LTC systems.
Matthias von Schwanenflügel serves in the German Ministry for Families, Seniors, Women and Youth, heading Directorate-General 3 'Demographic Change, Senior Citizens, Social Welfare.' He has served as assistant professor at the University of Münster and University of Bremen since 2009. Prior work includes service at the European Commission and German Federal Ministry of Health. From 2005 to 2010, he was head of the Directorate 'Sustainability in Long-term Care' and from 2010 to 2014, he served as Head of the Directorate 'Budget, Law and Telematics,' Data Protection Officer. In 2014, he was Head of the Directorate 'Drugs, Biotechnology.' In 2011, he was an Adviser/Fellow at the DHHS, Office of the Assistant Secretary for Planning and Evaluation.
Howard Gleckman is senior fellow at the Urban Institute, where he edits TaxVox. Previously, he was senior correspondent in the Washington bureau of Business Week, where he was a 2003 National Magazine Award finalist. Author of the book Caring for Our Parents and co-founder of the Long-Term Financing Collaborative, he speaks and writes frequently on LTC issues.
For more information on the German system, please see:
Nadash, Pamela, Pamela Doty, and Matthias von Schwanenflügel. 2018. “The German Long-Term Care Insurance Program: Evolution and Recent Developments.” Gerontologist 58(3): 588–597.
Nadash, Pamela and Alison Evans Cuellar. 2017. “The emerging market for supplemental long term care insurance in Germany in the context of the 2013 Pflege-Bahr reform.” Health Policy 121: 588–593. https://www.healthpolicyjrnl.com/article/S0168-8510(17)30067-2/pdf
HOW TO RSVP:
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RSVP to email@example.com. Please indicate whether you will attend by phone or in person. RSVP in advance is required for admittance due to building security.
For those participating by telephone, the meeting materials (once available) will be posted at our website: http://www.ltcdiscussiongroup.org on the ARCHIVES page. Telephone dial-in information is provided above.
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,
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