The Risk of Needing LTSS: DYNASIM Projections. Policy challenges

07/30/2015

  • Tradeoffs between costs and comprehensiveness
    • Cover expected costs of all or expected costs of users?
    • People want comprehensive coverage and low cost
  • If LTSS financing proposal is to help the maximum number of people, front-end coverage may be preferable
    • Hawaii is pursuing this approach
    • Help at transitional time
  • If LTSS financing proposal is to help those with the largest expenses, back-end coverage may make sense
    • Consistent with insuring against longevity risk
    • May generate more Medicaid savings
    • Complicated by greater longevity for those with higher status

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