Objective
To uncover lessons from abroad for Community Living Assistance Services and Supports (CLASS), a federally run voluntary public long-term care (LTC) insurance program created under the Accountable Care Act of 2010.
Data Sources
Program administrators and policy researchers from Austria, England, France, Germany, and the Netherlands.
Study Design
Qualitative methods focused on key parameters of cash for care: how programs set benefit levels; project expenditures; control administrative costs; regulate the use of benefits; and protect workers.
Data Collection/Extraction Methods
Structured discussions were conducted during an international conference of LTC experts, followed by personal meetings and individual correspondence.
Principal Findings
Germany’s self-financing mandate and tight targeting of benefits have resulted in a solvent program with low premiums. Black markets for care are likely in the absence of regulation; France addresses this via a unique system ensuing legal payment of workers.
Conclusions
Programs in the five countries studied have lessons, both positive and negative, relevant to CLASS design.