Against the backdrop of rapid population aging, addressing the long-term care (LTC) needs of the elderly has become a global challenge. The Long-Term Care Partnership Program (LTCPP) in the United States is a policy initiative jointly promoted by federal and state governments, designed to encourage the purchase of private LTC insurance to alleviate the burden on public finances. By incorporating an asset protection mechanism, the program provides incentives for policyholders to retain a portion of their assets when applying for Medicaid, primarily targeting middle-income individuals. However, empirical evidence suggests that the LTCPP has had limited success in expanding insurance coverage and achieving its intended policy objectives. In Connecticut, a representative participating state, issues such as disproportionate participation among high-income groups, low enrollment rates, and deviations from policy goals have become apparent. This chapter examines the historical development of the LTCPP, analyzes discrepancies between its institutional design and practical implementation, identifies key challenges, and proposes policy recommendations for improvement, using Connecticut as a case study.

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Exploring the Long-Term Care Partnership Program in the United States: Challenges and Lessons from Connecticut

  • Shangzhu Huang

摘要

Against the backdrop of rapid population aging, addressing the long-term care (LTC) needs of the elderly has become a global challenge. The Long-Term Care Partnership Program (LTCPP) in the United States is a policy initiative jointly promoted by federal and state governments, designed to encourage the purchase of private LTC insurance to alleviate the burden on public finances. By incorporating an asset protection mechanism, the program provides incentives for policyholders to retain a portion of their assets when applying for Medicaid, primarily targeting middle-income individuals. However, empirical evidence suggests that the LTCPP has had limited success in expanding insurance coverage and achieving its intended policy objectives. In Connecticut, a representative participating state, issues such as disproportionate participation among high-income groups, low enrollment rates, and deviations from policy goals have become apparent. This chapter examines the historical development of the LTCPP, analyzes discrepancies between its institutional design and practical implementation, identifies key challenges, and proposes policy recommendations for improvement, using Connecticut as a case study.