LTC Bullet: Mysteries of LTC Revealed

Thursday, September 9, 2004


LTC Comment: Here's a one-day class for everyone involved in long-term care--providers, financial advisors, elder law attorneys, insurance agents, etc.--that explains the persistent puzzles of LTC: Why do so many Americans die in nursing homes on welfare? Why don't more people buy private LTC insurance? What must we do to fix long-term care service delivery and financing? How can we help people cope in the meantime?

Alert: The class described in detail below will be offered at three California locations in October. Pre-registration is required. Please contact Amy McDougall at 425-377-9500 or to reserve a spot. Watch for additional offerings of this class on the east coast in November. Check out the testimonials that follow the course description below.

Date: Friday, October 8, 2004
Time: 8 a.m. - 4:15 p.m.
Location: University of Phoenix; 2860 Gateway Oaks Drive, Room 113, Sacramento, CA 95833
Cost: $225 per person

Date: Monday, October 11, 2004
Time: 8 a.m. - 4.15 p.m.
Location: University of Phoenix, 185 Berry Street, Room 111, San Francisco, CA
Cost: $225 per person

Date: Wednesday, October 13, 2004
Time: 8 a.m. - 4:15 p.m.
Location: University of Phoenix, South Coast Learning Center, 3150 Bristol Street, Room 312 Costa Mesa, CA 92626
Cost: $225 per person

Special sponsored luncheon speaker this class only: Ralph Leisle, founder and President of LTCi Decision Systems, Inc., will address the topic "Why LTCi in High Net Households and Executive Markets?" For more information about their LTC Economic Impact Planning software, visit: ."

FLY-INS for the Costa Mesa (Los Angeles) program will find the Orange County (John Wayne) Airport most convenient.





This long-term care intensive for senior advisers tackles critical questions that anyone who serves or advises seniors should understand in depth. For example:

* How did America's LTC service delivery and financing system come to be so dysfunctional, e.g. nursing home and home-health bankruptcies, unprofitable assisted living facilities, institutional bias, quality problems, staff shortages, low government reimbursements, skyrocketing liability insurance premiums, slow LTC insurance sales, etc.?

* Can the current non-system survive and how will it change?

* Will services be available when seniors need them in the future?

* Who will pay?

* What will happen to the government's LTC financing programs?

* What is the real reason so few people save, invest and insure for LTC expenses?

* What are the prospects for "above-the-line tax deductibility" for LTC insurance premiums in the coming year?

* How can advisers help more seniors protect themselves from the LTC risk?

* What are the hidden pitfalls of Medicaid planning and why does it persist?

* How can we build a "phalanx of professionals" around seniors to help them protect themselves from the legal and financial risks of aging?

* What changes in public policy (state and federal) would have to be made to move LTC in America from a wobbly welfare base to a solid foundation in private insurance?

WHY HAVE AN LTC GRADUATE SEMINAR?: Center President and seminar leader Stephen Moses explains: "Long-term care beginners have many excellent education and certification programs to choose from. But where do you go once you've learned the basics and achieved some success? How do you go to the next level? The Center for Long-Term Care Financing's 'graduate seminar' is for experienced professionals in all aspects of long-term care." [The LTC Graduate Seminar has no formal pre-requisites, but newcomers to long-term care especially are strongly advised to read the four textbooks for the class carefully before attending.]

TARGET AUDIENCE: financial planners or consultants, attorneys, accountants and CPAs, long-term care insurance agents, geriatric care managers, long-term care providers (home care, assisted living or nursing home care), social workers, medical professionals and home equity conversion specialists.

STYLE OF INSTRUCTION: This course will be conducted like a graduate seminar. Seminar leader Stephen Moses will present several modules of instruction followed by guided discussion. Every attendee will have ample opportunity to ask questions and share ideas. Participants are urged to challenge the instructor and each other with questions and comments.

TEXTBOOKS: Textbooks for The LTC Graduate Seminar are the Center's major reports including "LTC Choice: A Simple, Cost-Free Solution to the Long-Term Care Financing Puzzle," "The Myth of Unaffordability: How Most Americans Should, Could and Would Buy Long-Term Care Insurance," "The LTC Triathlon: Long-Term Care's Race for Survival," and "The Realist's Guide to Medicaid and Long-Term Care." All four reports are available in .pdf format free of charge at We will provide additional handouts of current interest at the time of the seminar. Printed and bound copies of the texts are available for $150. Enrollees will also receive a free three-month trial subscription to the Center's popular donor-only website zone (a $37.50 value), including daily LTC E-Alerts, LTC Readers and the LTC Data Base.


"The format was very good and the information received contained materials, ideas and implemented thought on a wide variety of issues affecting long term care, seniors and their families (and the government both state and federal) that I NEVER would have received from another source (or even from many sources)." (Comment from Chicago seminar, 2002)

"I enjoyed the graduate seminar very much. What it gave me was a sense of the real importance in the relationship between the care delivery system sector and the [financing] sector. I saw tremendous potential from a marketing standpoint and a strategic positioning initiative for my company." (Comment from Chicago seminar, 2002)

"Just wanted you to know that the Graduate Seminar was everything we hoped for . . . a day to 'invest in ourselves', to get away from the trees and 'see the forest' and to co-mingle with like-minded LTC professionals. . . ." (Pittsburgh LTC Graduate Seminar, May 13, 2002)

"Although I have attended many workshops on the topic of long-term care, your superb presentation offered a unique and enlightening perspective. Stepping beyond the facts that the public, as well as professionals in the field have been fed, you addressed the hidden reasons behind the challenges we face as long-term care specialists. With this newfound understanding, I hope to better assist clients in making truly informed decisions about their financial future, and the quality of their years ahead." (Philadelphia LTC Graduate Seminar, May 14, 2002)

"Thank you for a great seminar. I really enjoyed an entirely different perspective on what is happening in the way of LTC health issues and demographics. It was refreshing to get information beyond what carriers typically present, and look at why consumers really don't make the commitment to a LTC policy." (Seattle LTC Graduate Seminar, August 26, 2002)

"The course is extremely educative . . .. I've never received so much information in a single seminar!" "This is an advanced course . . .. [I]t provides (1) important historical perspective [and] (2) reality-based concepts that will be invaluable . . .." (Comments from the Green Bay, Wisconsin LTC Graduate Seminar, March 25, 2003)

"Stephen Moses was an excellent presenter, knowledgeable, very experienced in the field, innovative, practical, and he tried to be very helpful to attendees." (Comment from the Milwaukee, Wisconsin LTC Graduate Seminar, June 2, 2003)

"I recommend this course for all LTC insurance professionals." "The best 12 hours yet !!! and I've done these things for decades." "Vast amount of relevant material presented." (Comments from the Birmingham, Alabama LTC Graduate Seminar, February 18-19, 2004)

SPONSORING ORGANIZATION: The Center for Long-Term Care Financing is a 501(c)(3) charitable, nonprofit, nonpartisan think tank and public policy organization headquartered in Seattle, Washington. The Center's mission is to ensure access to quality long-term care for all Americans. Center representatives speak at conferences, write for publication, testify in state legislatures, and conduct training for professional financial advisers of the elderly throughout the United States. Details on the Center for Long-Term Care Financing, including the bona fides of the organization and its principals, may be found at .


Stephen Moses is President of the Center for Long-Term Care Financing in Seattle, Washington. The Center promotes universal access to top-quality long-term care by encouraging private financing and discouraging welfare financing of long-term care for most Americans. Previously, Mr. Moses was Director of Research for LTC, Inc., a Medicaid state representative for the Health Care Financing Administration and a senior analyst for the Inspector General of the U.S. Department of Health and Human Services.

Mr. Moses is widely recognized as an expert and an innovator in the field of long-term care. McKnight's Long-Term Care NEWS named him "one of the 100 most influential people in long-term care." Nursing Homes magazine reported "there is probably no more articulate spokesperson for privately financed long-term care than Stephen Moses."

Steve Moses has directed numerous national studies for the federal government, state governments, and private organizations on Medicaid nursing home eligibility, asset transfers, estate recoveries and long-term care financing. He specializes in problems associated with "Medicaid estate planning," the practice of artificially impoverishing affluent people to qualify them for public assistance.

Moses is credited with having "forged the framework" for the Omnibus Budget Reconciliation Act of 1993, which attempted to bring Medicaid eligibility loopholes under control. He helps state Medicaid programs curtail Medicaid estate planning and encourage private insurance as an alternative to public welfare financing of long-term care for the middle class.

Mr. Moses' articles appear often in distinguished publications like The Gerontologist, The Journal of Accountancy, Contemporary Long-Term Care, Best's Review, National Underwriter and LTC News & Comment. He is the author of "Health and Long-Term Care Insurance," a chapter in Clark Boardman Callaghan's legal treatise, Advising the Elderly Client. He has testified before two-thirds of America's state legislatures. He frequently addresses professional conferences in the fields of law, aging and insurance.

Steve Moses' recommendations are quoted often in the national media including the "CBS Evening News," PBS's "Frontline" and "The Financial Advisors," CNN, National Public Radio, The New York Times, Newsweek, USA Today, Forbes, The New Republic, Smart Money, National Journal, and Jane Bryant Quinn's syndicated column. He appears in a public television documentary entitled "The Aging of America: The Dilemma of Long-Term Care." His talk radio appearances on health care reform are unique, provocative, and increasingly in demand.

Mr. Moses wrote the chapter on long-term care financing for a new anthology titled Toward Healthy Aging, edited by best-selling author Ken Dychtwald of Age Wave renown. His chapter in an anthology on the Long-Term Care Partnerships was published in 2001. He is also the author of "LTC Choice: A Simple, Cost-Free Solution to the Long-Term Care Financing Puzzle", "The Myth of Unaffordability: How Most Americans Should, Could and Would Buy Private Long-Term Care Insurance," "The LTC Triathlon: Long-Term Care's Race for Survival," and "The Realist's Guide to Medicaid and Long-Term Care."