LTC Bullet:  The LTC Dozen (So Far)

Friday, February 15, 2013


LTC Comment:  Read profiles of the first twelve appointees to the Commission on Long-Term Care after the ***news.***

*** LTCI UNREPRESENTED:  Of the 12 appointees to the LTC Commission named so far none represents “private long-term care insurance providers” as required by the statute creating the Commission.  We’ll see if President Obama fills that gap when he names his three appointees. ***

*** ILTCI CONFERENCE:  Registration is still open for the Thirteenth Annual Intercompany Long Term Care Insurance Conference to be held from March 3-6, 2013, at the Hilton Anatole in Dallas, Texas. A current schedule and event details can be found at  Check out all the details on registration here.  This is the first of the SOA/ILTCI conferences I’ll miss, says Steve Moses, due to a travel planning oversight.  But Damon will be there.  Look him up and say hello. ***

*** NYT ON LTC COMMISSION:  The New York Times’ “New Old Age Blog” took notice this week of the Commission on Long-Term Care.  “A New Commission:  Time to Cheer or Yawn?,” by Paula Span, reflected common doubts that the LTC Commission will accomplish much of consequence.  For example:  "Even Connie Garner, the longtime Kennedy staff member who directs the advocacy group called Advance Class, was skeptical.  ‘What can you really do in six months?’ she said.  Actuaries and policy types had been working on the Class plan for 19 months before the plug was pulled.  ‘And so what if you introduce a bill?’ she went on.  ‘You can introduce stuff and nothing happens.’"  Our LTC Clipping about this article opined:  “The importance of this LTC Commission is not what it will accomplish--zilch--but the media attention it will draw to the LTC policy issue.  That's where the Center for LTC Reform’s long preparation of hard evidence, solid arguments, and irrefutable logic will bear fruit.” ***

*** SPEAKING OF OUR CLIPPING SERVICE.  The Center for Long-Term Care Reform’s “clipping service” is the best way to stay abreast of critical professional news.  Don’t waste your valuable time and effort searching the internet and reading a lot of junk just to locate what you really need to know.  Steve Moses has to do that anyway and he’ll save you the trouble, send you an average of three key items to review per day, and provide a representative quote and a link to the source so you can dig deeper if you wish.  Premium members of the Center and higher ($250+ per year) receive our clippings at no extra charge.  Corporate members receive one complimentary clipping service subscription upon request and are eligible for additional subscriptions at a discounted rate.  For details, contact Damon at 206-283-7036 or ***



LTC Comment:  The American Taxpayer Relief Act of 2012 (ATRA ’12) repealed the CLASS Act and established a “Commission on Long-Term Care.”  The Commission’s mandate is to . . .

develop a plan for the establishment, implementation, and financing of a comprehensive, coordinated, and high quality system that ensures the availability of long term services and supports for individuals in need of such services and supports, including elderly individuals, individuals with substantial cognitive or functional limitations, other individuals who require assistance to perform activities of daily living, and individuals desiring to plan for future long-term care needs.

The LTC Commission will consist of 15 members, three each appointed by the President, the Majority Leader of the Senate, the Minority Leader of the Senate, the Speaker of the House and the Minority Leader of the House.  The statutory deadline for these appointments was February 1, 2013, by which date none of the appointments had been made.  In the meantime, however, 12 members have been appointed.  Only the President’s three appointments remain to be named.

According to ATRA ’12, the Commission members must represent a wide range of long-term care interests:

The membership of the Commission shall include individuals who-

(A) represent the interests of-

(i) consumers of long-term services and supports and related insurance products, as well as their representatives;

(ii) older adults;

(iii) individuals with cognitive or functional limitations;

(iv) family caregivers for individuals described in clause (i), (ii), or (iii);

(v) the health care workforce who directly provide long-term services and supports;

(vi) private long-term care insurance providers;

(vii) employers;

(viii) State insurance departments; and

(ix) State Medicaid agencies;

(B) have demonstrated experience in dealing with issues related to long-term services and supports, health care policy, and public and private insurance; and

(C) represent the health care interests and needs of a variety of geographic areas and demographic groups.

Who are the 12 appointees named to the Commission so far? 

Special thanks to Jonathan S. Westin, Health Policy Director, The Jewish Federations of North America (JFNA) for preparing and permitting us to publish the following profiles of the first 12 appointees to the Long-Term Care Commission.

Javaid Anwar [appointed by Harry Reid, Majority Leader of the Senate]

Dr. Javaid Anwar, MD serves as Chief Executive Officer of Quality Care Consultants LLC, providing consulting service in Health Care Policy/Strategy to Employers, Health Insurers & Hospitals. Mr. Anwar serves as Vice President of Health Care Services for MGM/Mirage, a fortune 100 company. He served as Chairman of Governor Guinn's Committee on Access to Health Care in Nevada. He serves as member of the Operational Board of Nevada Cancer Institute and President of Nevada.

Judith Y. Brachman [appointed by John Boehner, Speaker of the House]

Judith Y. Brachman has served with distinction in government positions throughout her career which has been focused on issues pertaining to health services and housing for those in need. From 1991 – 1999, Ms. Brachman served as Director of The Ohio Department of Aging, a cabinet-level agency that administers services and supports for older adults, their caregivers and their families. Ms. Brachman played an integral role as director of this agency for eight years under Former Governor George V. Voinovich where she focused on ensuring that care would be delivered in a pragmatic yet innovative way that would add value to the Buckeye State’s older population. 

Ms. Brachman also served as an Assistant Secretary of Fair Housing & Equal Opportunity, U.S. Department of Housing and Urban Development during the Reagan Administration.  A chief accomplishment of her tenure was her work on the 1988 reauthorization of the Fair Housing Act which ensured more inclusive language that enabled persons with disabilities in need of long-term services and supports access under the reauthorized law. Ms. Brachman has also served on the Ohio Board of Nursing, which has afforded her deep knowledge of the state’s workforce challenges.

Within the non-profit sector, Ms. Brachman serves as a member of the JFNA Board of Trustees and is currently the national co-chair of JFNA’s Aging and Family Caregiving Committee for the past five years. In these roles, Ms. Brachman has balanced her roles as a tireless advocate for those in need with the duty of delivering care with a finite amount of funds from both government sources as well as philanthropic ones. 

Laphonza Butler [appointed by Harry Reid, Majority Leader of the Senate]

Laphonza Butler is the President of SEIU ULTCW – the United Long Term Care Workers’ Union, which represents 180,000 in-home caregivers and nursing home workers across California. Ms. Butler brings to her position years of experience working to improve the lives of members by successfully running strategic organizing campaigns, forming alliances with community and political allies, and partnering with other unions to build workers’ strength.

Ms. Butler has played an important role in shaping the labor movement’s strategy for organizing the newly emergent multi-national, multi-service corporations such as Sodexho, Compass, and Aramark. In response to the outsourcing of millions of food service jobs, SEIU and Unite Here joined forces to form Service Workers United to organize and represent food service workers. As the organizing director of SEIU 1199 Maryland, she organized and bargained collective bargaining agreements to represent hospital and nursing home workers in facilities like Johns Hopkins Hospital.

Bruce Chernof [appointed by House Minority Leader Nancy Pelosi]

Bruce Allen Chernof, MD, FACP, currently serves as the President & Chief Executive Officer of The SCAN Foundation whose mission is to advance the development of a sustainable continuum of care for seniors. The SCAN Foundation is one of the largest foundations in the United States focused entirely on improving the quality of health and life for seniors.

Prior to heading The SCAN Foundation, Dr. Chernof served as the Director and Chief Medical Officer for the Los Angeles County Department of Health Services, after serving as the Department’s Senior Medical Director for Clinical Affairs and Affiliations since December 2004.  Earlier in his career, Dr. Chernof served as Regional Medical Director for California Health Programs at Health Net, California's largest network-model managed care plan where he managed the Healthy Families program statewide and the managed care Medicaid program in Los Angeles County. Previously, Dr. Chernof worked as an academic general internist in the VA system as well as at Olive View UCLA Medical Center, serving as a UCLA faculty member.

Currently, Dr. Chernof is an Adjunct Professor of Medicine at UCLA. Dr. Chernof served as the founding Director of UCLA’s five-year combined MD/MBA Program. In 2002, the Geffen School of Medicine at UCLA recognized Dr. Chernof with the Award for Excellence in Education for these innovative programs. He has had work published in a variety of journals including Medical Care, and the Journal of General Internal Medicine.

Judy Feder [appointed by Harry Reid, Majority Leader of the Senate]

Judy Feder is a professor of public policy and, from 1999 to 2008, served as dean of the Georgetown Public Policy Institute. A widely published scholar, Dr. Feder’s health policy research began at the Brookings Institution, continued at the Urban Institute, and, since 1984, flourished at Georgetown University. In the late 1980s, Dr. Feder moved from policy research to policy leadership, actively promoting effective health reform as staff director of the congressional Pepper Commission (chaired by Sen. John D. Rockefeller IV) in 1989-90; principal deputy assistant secretary for planning and evaluation at the Department of Health and Human Services in former President Bill Clinton’s first term; a senior fellow at the Center for American Progress (2008-2011) and, today, as an Institute Fellow at the Urban Institute.

Dr. Feder matches her own contributions to policy with her contributions to nurturing emerging policy leaders. As dean from 1999 to 2008, she built the Georgetown Public Policy Institute into one of the nation’s leading public policy schools, whose graduates participate in policymaking, policy research, and policy politics, not only throughout Washington but throughout the nation and the world.

Bruce Greenstein [appointed by Mitch McConnell, Minority Leader of the Senate]

Bruce D. Greenstein is the Secretary of the Louisiana Department of Health and Hospitals. He has extensive experience in the health care field, having worked in both the private and public sector. On the state level, Bruce worked for Governor Lawton Chiles in Florida leading the design and administration of health care programs. On the federal level, he served as Associate Regional Administrator and Director of Waivers and Demonstrations in U.S. Department of Health and Human Services (HHS), where he oversaw the state Medicaid programs and led the federal government's Medicaid state reform efforts. Most recently, he served as the managing director of worldwide health for Microsoft Corp. Bruce enjoys combining his technological knowledge and health care experience in his role as DHH Secretary.

Stephen L. Guillard [appointed by John Boehner, Speaker of the House]

Stephen L. Guillard most recently served as Executive Vice President, Chief Operating Officer and member of the Board of Directors of HCR ManorCare, a Toledo, Ohio-based healthcare company.  Prior to joining HCR ManorCare, Mr. Guillard was Chairman and Chief Executive Officer of Harborside Healthcare, a Boston-based post-acute services firm from 1988 to 2005.  Prior to his tenure at Harborside Healthcare, Mr. Guillard was Chairman and Chief Executive Officer of Diversified Health Services in Philadelphia, Pennsylvania.

Mr. Guillard has focused on promoting quality improvements at long-term care facilities. As part of his involvement, he served four years as chairman of The Alliance for Quality Nursing Home Care, a coalition of 18 national provider organizations that care for 650,000 elderly and disabled patients annually and employ approximately 425,000 caregivers nationwide.

Neil L. Pruitt, Jr. [appointed by Mitch McConnell, Minority Leader of the Senate]

Neil L. Pruitt, Jr. is Chairman and Chief Executive officer of UHS-Pruitt Corporation, an integrated health care company offering independent and assisted living, skilled nursing services, rehabilitation services, home health and hospice care as well as pharmacy services, community-based services, medical supplies and care management. Mr. Pruitt also serves as the Chair of the Board of Governors of the American Health Care Association. He is a recognized leader in the health care profession and is a member of The Alliance for Quality Nursing Home Care, a board member of the United Hospice Foundation and past Chairman of the Georgia Health Care Association.

Judith Stein [appointed by House Minority Leader Nancy Pelosi]

Judith Stein founded the Center for Medicare Advocacy, Inc. in 1986 where she is currently the Executive Director. Ms. Stein has focused on legal representation of the elderly since beginning her legal career in 1975. From 1977 until 1986, Ms. Stein was the Co-Director of Legal Assistance to Medicare Patients (LAMP) where she managed the first Medicare advocacy program in the country.  She has extensive experience in developing and administering Medicare advocacy projects, representing Medicare beneficiaries, producing educational materials, teaching and consulting.  She has been lead or co-counsel in numerous federal class action and individual cases challenging improper Medicare policies and denials.

Ms. Stein is the editor and co-author of books, articles, and other publications regarding Medicare and related issues including the Medicare Handbook (Aspen Publishers, Inc., 13th Edition, 2011; update annually) and a contributor to the on-line periodical, Neiman Watchdog.  Ms. Stein is a Past President and a Fellow of the National Academy of Elder Law Attorneys (NAELA), a past Commissioner of the American Bar Association Commission on Law and Aging, an elected member of the National Academy of Social Insurance (NASI), and a recipient of the Health Care Financing Administration (HCFA, now CMS) Beneficiary Services Certificate of Merit. She represented Senator Christopher Dodd as a delegate to the 2005 White House Conference on Aging and received the Connecticut Commission on Aging “Age-wise Advocate Award” in 2007.

Grace-Marie Turner [appointed by John Boehner, Speaker of the House]

Grace-Marie Turner is president of the Galen Institute, a public policy research organization that she founded in 1995 to promote an informed debate over free-market ideas for health reform.  Ms. Turner has been instrumental in developing and promoting ideas for reform to transfer power over health care decisions to doctors and patients.  She speaks and writes extensively about incentives to promote a more competitive, patient-centered marketplace in the health sector.

Ms. Turner served for a three-year term as a member of the National Advisory Council of Healthcare Research and Quality and served as a member of the Medicaid Commission, charged with making recommendations to modernize and improve Medicaid.

She has been published in hundreds of major newspapers, including The Wall Street Journal and USA Today, and has appeared on ABC’s 20/20 and on hundreds of radio and television programs in the U.S.  Grace-Marie is founder and facilitator of the Health Policy Consensus Group which serves as a forum for analysts from market-oriented think tanks around the country to analyze and develop policy recommendations.

George Vradenburg [appointed by House Minority Leader Nancy Pelosi]

George Vradenburg is a civic activist and philanthropist, driven by a passion for public service. President of the Vradenburg Foundation, he founded USAgainstAlzheimer's, a national disease advocacy network and chairs the Geoffrey Beene Foundation-Alzheimer's Initiative on early diagnosis.
Prior to December 2003, he was Strategic Advisor, AOL Time Warner, having served in senior executive positions at AOL, AOL Time Warner and Time Warner. Before joining America Online, Mr. Vradenburg served as Senior Vice President and General Counsel of CBS Inc. and Executive Vice President of Fox, Inc.

Previous board positions have included Vice Chair of the INOVA Health System Foundation, Human Rights First and the Survivors’ Fund (serving families of 9/11 victims at the Pentagon). With his wife Trish, Mr. Vradenburg founded and co-chairs the National Alzheimer’s Gala and the Alzheimer’s Action PAC and publishes Tikkun Magazine (a Jewish and Interfaith Critique of Politics, Culture & Society).

Mark J. Warshawsky [appointed by Mitch McConnell, Minority Leader of the Senate]

Mark J. Warshawsky is Director of Retirement Research at Towers Watson, a global human capital consulting firm. He conducts and oversees research on employer-sponsored retirement programs and policies, social security, financial planning and health care financing. He has written numerous articles published in leading peer-reviewed scholarly journals, practitioner publications, conference volumes and working papers, has organized several research conferences, and has testified before Congress on public policies relating to pensions, annuities and other economic issues. He is a co-author of the Fundamentals of Private Pensions, Ninth Edition, 2009, published by Oxford University Press, and of Retirement Income: Risks and Strategies, forthcoming, MIT Press.

A member of the Social Security Advisory Board for a term through 2012, he is also on the Advisory Board of the Pension Research Council of the Wharton School.

From 2004 to 2006, Dr. Warshawsky served as assistant secretary for economic policy at the U.S. Treasury Department. There he played a key role in the development of the Administration’s pension reform proposals, particularly pertaining to the funding of single-employer defined benefit plans, which formed the basis of the Pension Protection Act of 2006. Dr. Warshawsky’s research led directly to the 2001-2 regulatory reform of minimum distribution requirements for qualified retirement plans. He is the inventor of the life care annuity, a product innovation integrating the immediate life annuity and long-term care insurance. For that research, Dr. Warshawsky won a prize from the British Institute of Actuaries in 2001. He has also held senior-level economic research positions at the Internal Revenue Service, the Federal Reserve Board in Washington, D.C. and TIAA-CREF, where he established the Paul A. Samuelson Prize.