LTC Bullet: LTC "Memorial" is a Model for States
Thursday, February 26, 2004
LTC Comment: Like most states, New Mexico faces a huge social and fiscal challenge from long-term care. Unlike some states, forces are mobilizing there to do something about it. More after the ***news.***
*** SUBSCRIBE easily to LTC Bullets. Encourage your colleagues to fill out the simple online subscription form athttp://www.centerltc.org/bullets/subscribe_to_bullets.htm . Subscriptions are free to everyone for the first three months. ***
*** JOIN THE CENTER'S TEAM. Please make a monthly, quarterly, or annual tax-deductible contribution to the Center for Long-Term Care Financing. Even small amounts are much appreciated. All donations are easy to make through our new secure server connection athttp://www.centerltc.com/support/index.htm . Of course, your check mailed to the Center for Long-Term Care Financing, 2212 Queen Anne Avenue North, #110, Seattle, Washington 98109 is also much appreciated (and avoids an online contribution fee the Center has to pay.) Annual contributions of $150 or more qualify for our special daily publications and access to our password-protected "donor-only zone." Many thanks for your support AND encouragement. ***
*** LTC GRADUATE SEMINAR. A special two-day version of the Center for Long-Term Care Financing's highly applauded "LTC Graduate Seminar" received rave reviews last week from Blue Cross/Blue Shield of Alabama staff. "I recommend this course for all LTC professionals," said one attendee. "The best 12 hours yet!!! And I've done these continuing education classes for decades," said another. If you'd like to schedule a Long-Term Care Graduate Seminar for your region, organization or company, contact Center Executive Director Amy McDougall at 425-377-9500. For details on the program, including a syllabus, price and more testimonials, go to http://www.centerltc.com/ltc_grad_seminar.htm . We no longer give the LTC Grad Seminar on a regular schedule, but we will present it anywhere, anytime for anyone who can provide a seminar room and a dozen or more attendees. Seminar instructor Steve Moses says "The LTC Graduate Seminar is the next logical step for senior advisors and long-term care professionals who already have a strong base of knowledge and experience to move to the next level of expertise and professionalism." ***
*** LATEST DONOR-ONLY ZONE CONTENT: Here's the latest Zone content followed by instructions on how to subscribe so you can receive these critical epistles daily by email.
The LTC Data Update #4-008--Ability to Pay Drives Level of Long-Term Care (New research shows private pay capability trumps health factors in choice of ALF or NH.)
Don't miss our "virtual visits" to major LTC industry conferences in The Zone. You'll find our comparison of the conferences, session summaries, interviews and pictures at http://www.centerltc.com/members/index.htm .
Individual donors of $150 or more and corporate donors to the Center for Long-Term Care Financing receive our daily email LTC Bullets, LTC E-Alerts, LTC Readers, and LTC Data Updates for a full year. You'll also get access to the donor-only zone where these publications are archived along with other donor-only features. If you already qualify for The Zone, you can click the following link, enter your user name and password, and go directly to the latest donor zone content and archives:http://www.centerltc.com/members/index.htm . If you do not already qualify for The Zone, mail your tax-deductible contribution of $150 or more to the Center for Long-Term Care Financing, 2212 Queen Anne Avenue North, #110, Seattle, WA 98109. Then email mailto:firstname.lastname@example.org your preferred user name and password (up to 10 characters each). You can also contribute online by credit card or direct withdrawal at http://www.centerltc.com/support/index.htm . ***
LTC BULLET: LTC "MEMORIAL" IS A MODEL FOR STATES
LTC Comment: Last month, Center President Steve Moses and gerontologist Dr. Ron Lucchino, an advocate for the Alzheimer's Association, spent a week in Santa Fe, New Mexico visiting long-term care stakeholders. They shared their common view that a fresh assessment and a new approach to LTC service delivery and financing is much needed and long overdo. Thoughtful state administrators and legislators agreed. The following "memorial" passed the necessary germane committees in the House of Representatives and the Senate. (A memorial is an unfunded sense of the legislature resolution in New Mexico.) It passed in the House, but barely missed reaching the floor in the Senate before time ran out on the legislative clock. Nevertheless, a start has been made and we encourage other states to take a similar step toward objective review and creative reform of their long-term care programs.
SENATE JOINT MEMORIAL 72
46th legislature - STATE OF NEW MEXICO - second session, 2004
[Senator] Dede Feldman
A JOINT MEMORIAL REQUESTING THE STATE AGENCY ON AGING TO LEAD A STUDY ON THE FINANCIAL IMPACT OF FACILITY-BASED CARE ON THE MEDICAID BUDGET AND IDENTIFY ALTERNATIVE MODELS OF FINANCING SUCH CARE.
WHEREAS, the population of New Mexicans over the age of sixty-five is growing and will almost double by the year 2020; and
WHEREAS, due to medical advances, people are living longer, but not necessarily healthier, lives; and
WHEREAS, the population of people over the age of eighty-five is growing twice as fast as that of people over sixty-five, and these are the most frail of the elderly; and
WHEREAS, a large and growing number of aging people are suffering from the ravages of Alzheimer's disease and are unable to care for themselves; and
WHEREAS, the medicaid program in New Mexico covers the cost of nursing home care and home- and community-based services for the elderly and disabled and provides in excess of two hundred twenty-one million dollars ($221,000,000) in combined state and federal funding for these services; and
WHEREAS, the private cost of nursing home care is unaffordable for most people in need of nursing home care and therefore most families have come to rely on medicaid to fund this level of care for their elderly relatives; and
WHEREAS, people are finding it relatively easy to qualify for medicaid long-term care services, despite seemingly restrictive eligibility rules, and this relaxed access has resulted in an entitlement mentality regarding the financing of these services; and
WHEREAS, use of private, out-of-pocket and insurance financing of these long-term care services has languished while medicaid costs have skyrocketed; and
WHEREAS, long-term care insurance, home equity conversion and other alternative mechanisms for private financing of long-term care services have been little utilized;
NOW, THEREFORE, BE IT RESOLVED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO that the state agency on aging be requested to lead a study with the cooperation of the human services department and appropriate statewide organizations representing aging and long-term care services to study the financial impact of facility-based and home- and community-based care on the medicaid budget and identify alternative models of financing such care; and
BE IT FURTHER RESOLVED that this study identify appropriate incentives to encourage self care and the use of insurance, explore potential ways to limit asset identification and asset transfers and promote maximum medicaid estate recovery; and
BE IT FURTHER RESOLVED that the state agency on aging support the efforts of a statewide organization representing the needs of people with Alzheimer's disease, and others as appropriate, to hold a conference exploring alternative models of financing long-term care services; and
BE IT FURTHER RESOLVED that the state agency on aging develop recommendations on implementation of alternative mechanisms for financing long-term care services and report its findings and recommendations to the interim legislative health and human services committee at its October 2004 meeting; and
BE IT FURTHER RESOLVED that the state agency on aging and the human services department notify appropriate statewide organizations representing aging and long-term care; and
BE IT FURTHER RESOLVED that copies of this memorial be transmitted to the state agency on aging and the human services department.