Better Care for Billions Less: Fixing Medicaid’s Long-Term Care Incentives
Update: 2025-12-11
Description
Cato's Michael Cannon and the Center for Long-Term Care Reform's Stephen Moses examine how Medicaid’s long-term-care eligibility rules let middle- and upper-middle-class households shelter assets and shift costs onto taxpayers, driving up spending and lowering quality for the poor. Drawing on Moses’s new Cato paper Better Long-Term Care for Billions Less, they explain how perverse incentives, generous exemptions, and weak estate recovery undermine private planning and inflate a program already consuming one-third of Medicaid’s budget.
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