| Sumario: | This article recommends creating a federally regulated electronic exchange for private long-term-care insurance called the American Long Term Care Insurance Program (ALTCIP). ALTCIP would draw new consumers, while incentivizing insurers to participate by helping stabilize premiums and spreading risk. Offering a uniform program giving the middle class access to affordable coverage could increase LTCI take-up rates nationwide, relieving pressure on state and federal Medicaid budgets. If a tax-based social insurance plan offering catastrophic LTSS coverage were implemented, the ALTCIP would be complementary, either providing front-end coverage or filling in gaps.
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