Long-term care planning is an important part of retirement planning and something we regularly talk to our clients about. One thing people often don’t realize, as Jordan Rau in this helpful NY Times article points out, is that Medicaid plays a vital role in long-term care planning and currently accounts for 42 percent of Medicaid expenditures. Some also don’t realize, as Rau continues, that many recipients “entered old age solidly middle class but turned to Medicaid, which was once thought of as a government program exclusively for the poor, after exhausting their insurance and assets.” Medicaid, then, isn’t a merely a system for the poor who need food assistance, but rather it’s an important social safety-net for retirees who can’t keep up with the pace of health care costs:
A combination of longer life spans and spiraling health care costs has left an estimated 64 percent of the Americans in nursing homes dependent on Medicaid. In Alaska, Mississippi and West Virginia, Medicaid was the primary payer for three-quarters or more of nursing home residents in 2015, according to the Kaiser Family Foundation.
“People are simply outliving their relatives and their resources, and fortunately, Medicaid has been there,” said Mark Parkinson, the president of the American Health Care Association, a national nursing home industry group.
With all of the proposed changes taking place in congress, the full article in the NY Times is worth reading, and I think it provides a helpful perspective on the need for health care reform and the need for responsible, proactive retirement planning.