This article will continue to be updated with each new California Long-Term Care Taskforce Meeting facilitated by the CA Department of Insurance.
How Will California’s Long-Term Care Insurance Program Coordinate with Existing Resources?
The California Long-Term Care Task Force held its fourth meeting on October 21, 2021. Here’s a recap of preliminary key recommendations from prior meetings:
Prior Program Structure Recommendations
Targeted social assistance or vested social insurance
Social insurance (preferred to public assistance)
Consideration of other government LTSS programs such as those in Germany, Washington state, and France
Who Presented on What
In this meeting, the committee discussed how the new program will interact and coordinate with other public and private programs that concern long-term care.
Various organization or department representatives presented on what role their affiliated programs play in the long-term care services and supports industry. We heard from:
The California Department of Aging and its “No Wrong Door” LTSS navigation system,
The California Department of Health Care Services and how Medi-Cal, Medicare, and California Partnership Long-Term Care Insurance Policies interact with one another,
The DOI on how the future program will coordinate with current federal proposals such as The Wish Act, The Better Jobs Better Care Act, The Credit for Caring Act, and The Medicare LTSS Act.
The committee then compared existing government long-term care programs from Germany, France, and Washington state. Consulting firm Oliver Wyman presented on each of these three programs to assess how any of the features could fit into a California plan (with California population demographics in mind).
Summary of Key Recommendations
The key takeaways from this meeting boil down to questionnaire results:
“Views are mixed on an opt-out option for individuals with private LTC insurance (LTCi)
Private LTCi pays first then statewide LTC insurance then Medi-Cal, with concurrent but non-duplicative payments
Statewide LTC insurance should not factor into Medi-Cal eligibility
Statewide LTC insurance program should integrate existing outreach, care coordination, and access to care programs”
More detail on these key takeaways in the image below.