Direct Contracting may offer ACOs a unique opportunity
The Direct Contracting model includes a unique feature allowing accountable care organizations the ability to contract with providers.
It is no secret that the long-term care insurance (LTCI) industry is having trouble offering products with a convincing and an attractive value proposition. In a recently released report, Conning Research & Consulting, Inc. reminds us that from an economics point of view, in order for a consumer to purchase a product, the product must 1) satisfy a perceived need or a want for which the consumer is personally responsible and 2) have an acceptable price.1 It appears that there are large gaps between LTCI consumers and insurers in both of these areas.
We all know the problems the long-term care insurance is facing. Nonetheless, the U.S. population will have an increasing need for long-term care services in the coming years, and most people are not taking action to purchase insurance to fund these future long-term care expenses. Offerings of long-term care coverage must address the following barriers:
One effective way to deal with employees' ignorance or denial of their potential future need for long-term care services is through an employer-sponsored program. By sponsoring a long-term care program, employers communicate to their employees the importance of LTCI and the potential need for long-term care services. More employees are likely to participate in an employer-sponsored program; therefore, the employer is able to provide a larger, more efficient "safety net" for their employees.
If an employer also decides to financially contribute to the cost of the plan, even more employees will participate in the program because the deterrent of a high cost has been mitigated. Employer financial sponsorship reduces the cost burden for employees, but the burden is then shifted to employers. To combat the high costs associated with employer financial sponsorship of LTC, employers can implement a true group long-term care program in which employers and employees jointly contribute to self-fund future long-term care costs. By implementing features such as waiting and vesting periods to a properly tailored LTC plan design, the cost for both employers and employees is reduced to a level similar to the cost of a dental program. At the same time, employers provide coverage to their most valued, long-term employees.