Insights on people’s thoughts and some changes Connecticut made regarding long term service and support!

Wanted to share some insights from a recent survey sponsored by UBS Wealth Management. Some highlights were recently reported in – In the survey  people were asked  – How worried are you – about various personal related issues. It was not focused on Connecticut but my sense is the findings also apply here.

● A common issue where 26% indicated they were highly worried was – “Being able to afford healthcare and the support I need in my old age”.

● This concern was higher than one many sources consider important – “Having enough money set aside for retirement”. Only 14% were highly worried about it.

● One point, of interest to me, was the fact that more people expressed concern about – “Having someone care for me in my old age” than did about having enough money.

● Another insightful point from the survey was that people from 25 to 49 expressed more concern on these issues than individuals age 60.

There was some information this week on long term services which is specific to Connecticut. Governor Malloy reported more funding was going to be directed to home and community based services (HCBS) for people who are eligible for MedicAID and less to nursing homes. Individuals eligible for MedicAID will certainly appreciate this but – Is this approach better and more economical for the state? The answer is – not necessarily nor does it improve care!

Stephen A. Moses, President Center for Long-Term Care Reform in Seattle, WA recently reported on HCBS in his newsletter. I want to share some of his insights:


Academics, policy makers, politicians and senior advocates have pushed the idea for decades that home and community-based care saves money and gives people who need LTC what they want.  Now finally comes research that shows no evidence that HCBS saves money or improves outcomes.


His newsletter also included some highlights, which are below: Another report has more information.


“Home- and community-based services (HCBS), initially touted as a cost-saving method of delivering long-term care compared to institutional settings, may not actually be a significantly superior setting in which to receive care, suggests a report from the Agency for Healthcare Research and Quality (AHRQ).  AHRQ reviewed several studies comparing different long-term care models and concluded there’s not enough evidence to truly assess their relative effectiveness in relation to each other. It may be more accurate to simply consider HCBS as a preferred model among consumers, rather than one that provides better care at a lower cost, the report’s authors say.”


Steve also provided me an important point about HCBS. There are very serious issues regarding quality in how it is provided and with elder abuse.  HCBS are much harder to monitor than care in nursing homes.

Have questions – call – John C Parker, RHU, LTCP – (860) 739-0005