An updated policy roadmap: caring for those with complex needs
- Collection:
- Health Policy and Services Research
- Contributor(s):
- Bipartisan Policy Center, issuing body.
- Publication:
- Washington, D.C. : Bipartisan Policy Center, March 2022
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Policy Long-Term Care Multiple Chronic Conditions -- therapy United States
- Genre(s):
- Technical Report
- Abstract:
- Because Medicare does not cover comprehensive long-term services and supports (LTSS), individuals with functional limitations who do not qualify for Medicaid must pay out-of-pocket for LTSS, often until they spend down their savings to qualify for Medicaid, and many also rely on unpaid caregivers to deliver LTSS. For those enrolled in Medicare fee-for-service, either by choice or because Medicare Advantage plans offering SSBCI are not available, policymakers could improve equity by making similar evidence-based, non-medical benefits available to individuals with chronic conditions who are served in risk-based or care management models. Public- and private-sector reforms that address these and other challenges discussed in this report would help remove barriers to quality, person-centered care for individuals with complex health care needs. This report draws on recommendations from 12 previous reports to lay out a roadmap of policy solutions that Congress and federal agencies should still consider. Some of the recommendations here are reflected in pending legislation, described in the Policy Landscape section below, although the outlook for those measures was uncertain at the time BPC drafted this report. To the extent that any of these recommendations become law, BPC hopes the Biden administration will work closely with states and stakeholders to implement the policies effectively and expeditiously. This report presents the recommendations in two parts. Part I focuses on proposals that improve health and long-term services and supports for low-income individuals through the Medicaid program. Part II includes recommendations to provide support for middle- and higher-income individuals who may also face catastrophic long-term care costs, often causing them to exhaust their financial resources until they must rely on Medicaid. While Congress passed legislation to expand Medicaid home and community-based services (HCBS) through enhanced funding for states in the American Rescue Plan Act, we hope this report will be useful to policymakers as they seek additional ways to improve care for those with complex needs.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (98 pages)) : illustrations
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918557284306676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918557284306676