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To encourage people to buy long-term care insurance, more states are starting programs that allow people to keep some assets if they exhaust insurance benefits and need to go on Medicaid. Without such an arrangement, they would have to "spend down" assets to qualify for Medicaid. But, experts warn, the policies need strong inflation protections.
Alzheimer's is thought of as a disease of the elderly, but hundreds of thousands of cases are in men and women under 65. Because the disease makes it difficult to work, these people often lose their jobs - and their health insurance.
Medicaid is front and center in the debate on overhauling the U.S health system and expanding coverage to the uninsured. With 60 million enrollees, Medicaid dwarfs other insurance programs, including its cousin, Medicare, which covers 44 million elderly and disabled people. Here's a chance to test your knowledge of Medicaid.
Patients who are readmitted to the hospital soon after they're discharged cost the health care system billions of dollars a year in unnecessary spending. These "frequent fliers," as doctors sometimes call them, illustrate the worst aspects of poorly coordinated care. Innovative programs may serve as models for fixing the problems.
The over-65 crowd, with its outsized political clout, will have a big say in the fate of any health overhaul. And that helps explain a recent agreement on drug discounts involving the pharmaceutical industry, the White House and Congress.
Once a senior begins receiving long-term care services, she and her family often are in for two shocks. The first is that Medicare won't pay beyond perhaps a few months after a hospitalization. The second is that while Medicaid, the state-federal program for the poor, may help, chances are it will only do so for nursing home residents.
Sen. Ted Kennedy is vowing to make long-term care insurance part of health reform. But even he has an uphill struggle to make sure it's included in any broad-based bill.
Will allowing younger people to buy coverage ease a health-care problem or break an already overburdened program?
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