A Consensus Framework for Long-Term Care Financing Reform

The Long-Term Care Financing Collaborative is recommending a series of reforms aimed at expanding access to long-term services and supports (LTSS) for people of all incomes. We believe the current system of financing LTSS is inadequate, especially for those with high levels of need. It puts an enormous burden on family members and friends, often results in poor care, and frequently causes preventable harm that endangers recipients of care and their caregivers, and increases medical costs.

Today, more than 6 million older adults need this high level of care, a number expected to increase to nearly 16 million within a half-century. Millions of middle-income Americans drain their financial resources, place enormous burdens on family caregivers, and eventually turn to Medicaid for assistance. We believe the United States can do far better.

Urban Institute