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 Steven Moses

Author: Arthur Rudnick, LTCP (
Date:   03-02-05 14:24

For those of you who do not subscribe to the daily "LTC Bullets" from the Center for LTC Financing, here's a good reason why you should.

Steve Moses, President of the Center is a huge proponent of LTCI, even though he comes from a different perspective than most agents & brokers.

His focus is to put tighter restraints on Medicaid qualification, in order to lower the country's catastrophic costs of this program. He wants the public to purchase a LTC policy, so they won't have to rely on Medicaid. He's for tightening the laws regarding asset transfers, that allow people to artificially impoverish themselves in order to qualify for Medicaid.

His vision is to save the country's assets, while we as agents & brokers look to save our policyholder's assets.

He's one of the good-guys in our industry. Take a look at his website and sign up for his Daily LTC Bullets. Also, you can join his "Donor Only Zone". The $150 annual fee is tax-deductible and it helps the Center go forward in their efforts.

Here's Steven Moses latest "LTC Bullet." It's a good read.

LTC E-Alert #5-016--LTC Embed: Report from the Front, Washington, DC

Wednesday, March 2, 2005

LTC Comment: Following is another of Steve Moses's on-the-road reports
from the long-term care policy front.


I'm in Washington, DC for the week. A sub-acute and nursing home company paid to get me here to brief their executives Monday on the past, present and future of LTC financing. I'm spending the rest of the week on the Hill and in town doing a series of briefings and a lot of listening. I thought I'd share with you Center supporters some of what I'm doing and hearing.

While the LTC carriers' government affairs lobbyists and the trade
associations representing LTCi are still bogged down trying to get someone, anyone, to listen to their pleas for above-the-line tax deductibility and LTC partnerships, the real action here in DC is Medicaid LTC. As you know, our position is to win tax-deductibility and other financial incentives for LTCi by showing Congress and the Administration enough savings from
Medicaid to pay for them. That's where we are getting traction.

I haven't seen this much interest, publicity, and political worry
associated with long-term care financing since the early 1990s, i.e. the last time Medicaid costs were doubling every few years and state and federal budgets were in the tank. Right after that flurry of interest, we got longer and stronger Medicaid transfer of assets (TOA) rules and mandatory estate recovery in OBRA 1993. Next came criminalization of TOA (aka "Throw Granny in Jail") and tax-deductibility of LTCi (such as it is) in HIPAA 1996. The very next year came repeal of "Throw Granny in Jail" and its replacement by the "Throw Granny's Lawyer in Jail" law or BBA
'97. Little came of those initiatives as the economy improved, welfare rolls declined, and the states and feds decided to ignore this politically sensitive area of senior entitlements.

But it's a whole new world out there now. State and federal budgets are hurting. Medicaid, especially its long-term care component, is the culprit. Consensus is growing that something must be done to shift from public to private financing of LTC.

Bill Thomas, Chairman of the House Ways and Means Committee announced on Meet the Press a few weeks ago that long-term care financing should be part of Social Security reform.

The New York Times (NYT) and Wall Street Journal (WSJ) are full of editorials and stories about the fiscal pinch of Medicaid, especially LTC, on state and federal budgets. Check out their coverage.

Don't miss this National Public Radio piece from the March 1 "Morning Edition," titled "Addressing the Cost of Long-Term Health Care," which lays out the issue very clearly:
. Listen online.

The nation's governors are in DC this week and the Medicaid/LTCi issue is atop their agenda. According to articles in today's NYT and WSJ, the governors and the Administration (in the person of Michael Leavitt, former governor of Utah who is the new Secretary of DHHS) are in agreement on some
basics. One of those agreements is that transfer of assets to qualify for Medicaid has to be stopped.

From our point of view, that's a step in the right direction. But neither the governors, the Congress, nor the Administration understand the issue and the true potential of controlling Medicaid planning and encouraging private LTCi.

Raising their consciousness on these issues and pointing them in the right policy direction is a principal objective of our work in DC this week.

I'm meeting with a Health Economist at the Senate Joint Economic Committee this morning. I'm having lunch with a Wall Street Journal reporter who is covering the politics of Medicaid and long-term care. This afternoon I'll be on the House side of the Hill speaking with a staffer charged with identifying how common Medicaid planning abuse is.

Over the remainder of this week, I have appointments with the President of the American Health Care Association (AHCA is the trade association for the proprietary nursing home and assisted living industry) and with a representative of the National Association of Health Underwriters (NAHU).

I've visited already with our contact at the Cato Institute, who has re-confirmed their interest in publishing our proposed book on Medicaid and long-term care financing. Friday, I'll meet with key staff at the Heritage Foundation to talk about what we can do to point Congress and the Administration in the right direction on long-term care.

Sorry if this rambles. I don't have much time. Gotta rush to this
morning's first appointment. More tomorrow and Friday. If you like this kind of reportage, let us know.


"LTC E-Alerts" are a feature offered by the Center for Long-Term Care Financing to donors of $150 per year or more. We'll track and report to you news and analysis regarding long-term care financing, service delivery, and research. We hope The LTC E-Alerts will help you attain and maintain a high level of knowledge and competency in this complex field. The Center for Long-Term Care Financing is a 501(c)(3) charitable, nonprofit organization dedicated to ensuring quality LTC for all Americans

A formatted version of today's LTC E-Alert is available at

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 Topics Author  Date
 Steven Moses  new
Arthur Rudnick, LTCP 03-02-05 14:24 
 Re: Steven Moses  new
Carver CLTC CSA 03-03-05 15:56 



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