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World Getting ‘Super-aged’ at Scary Speed!

September 8, 2014 by Honey Leveen Leave a Comment

Super AgedCNN Money just published a great article about a just-released report by Moody’s Investment Service. It is about how rapidly much of the world is aging, and how disastrous this will be for the world economy.

The article states that by 2020, 13 countries will be “super-aged” – with more than 20% of the population over 65.

That number will rise to 34 nations by 2030. Only three qualify now: Germany, Italy and Japan.

“Demographic transition … is now upon us,” warn Elena Duggar and Madhavi Bokil, the authors of the Moody’s report.

“The unprecedented pace of aging will have a significant negative effect on economic growth over the next two decades across all regions.”

This excellent interactive chart shows how much and how rapidly the world will be super-aged.

Moody’s finds that accelerating population growth will lead to slower economic growth. Will this also lead to a shortage of caregivers? I think so, especially for those without the money long-term care insurance (LTCi) provides to pay for care. This is certainly evidence that our government will not be capable of paying for the long-term care so many of us will need.

Formal long-term care planning, well in advance, with traditional long-term care insurance or the excellent asset-based LTC products now available, is the only sane way for the majority of us to ensure and conserve emotional, physical and fiscal health.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Aging, CNN Money, Elena Duggar, Honey Leveen, long-term care, LTC costs, LTCi, Madhavi Bokil, Moody's Investment Service, super-aged, www.honeyleveen.com

Long-term Care Insurance Makes Great Birthday Gift

August 25, 2014 by Honey Leveen Leave a Comment

LTCi Birthday Gift“Long-term care insurance makes great birthday gift” is the title of a well-written, accurate, concise MarketWatch article by Robert Klein. (Of course, long-term care insurance (LTCi) also makes a great Mother’s Day, Father’s Day, Christmas, Kwanzaa, etc. gift!)

Part of what makes this column so great is how well Mr. Klein supports his advice. He writes, “More than 90% of participants in a 2010 Age Wave/Harris Interactive survey sponsored by Genworth hadn’t even talked about critical extended-care issues with their spouse/partner, aging parents or adult children. This was the case despite the fact that 55% of respondents reported that their greatest fear regarding an extended care illness or event was being a burden on their family.”

Almost 70 percent of those turning 65 will will need long-term care at some point in their lives.

These are scary statistics. Yet the public still fails to face these and other truths. Way too few of us own LTCi.

He also writes, “What wasn’t widely reported until recently, and is the real reason for having an extended-care plan, is the financial, emotional, and physical impact of an extended-care event on primary and secondary nonprofessional caregivers. Genworth’s “Beyond Dollars – The True Impact of Long Term Caring” research, which was initially published in 2010, did an excellent job of documenting this.”

From what I’ve witnessed over past 24 years selling LTCi, the emotional and physical reasons for owning LTCi are at least as compelling and important as the fact that LTCi conserves wealth.

I’ve blogged about Genworth’s “Beyond Dollars – The True Impact of Long Term Caring” study before. Since Mr. Klein laid these facts out so clearly and plainly, I’ll re-publish them”

  • “The average age of primary care givers is 53, with 42% caring for a mother, 14% for a father, and 13% for a spouse.
  • 42% reported that the care recipient resided in their home for a period of three years or more.
  • The financial impact was widespread, with 83% contributing financially, 63% reporting lost income of an average of 23% of household income, 61% reducing savings by an average of 63%, 57% dipping into their own retirement funds and/or savings, 45% cutting back on their own family expenses, 40% reducing family vacations, and 29% borrowing money, taking out a reverse mortgage and/or selling their home.
  • 57% provided care for more than 16 hours each week and 31% provided care for more than 30 hours each week.
  • Over a third reported direct negative consequences to their own careers, including 44% working fewer hours, 48% lost a job, changed shifts and/or missed career opportunities, 38% incurred repeated absences from work, and 17% found themselves repeatedly late for work.
  • The impact on family and relationships included 44% experiencing an increase in stress with their spouse, 27% reported stress with siblings, 23% experienced an increase in stress with their children, 20% reported reduced time with children, and 58% reduced savings for college education.”

My only qualm with Mr. Klein’s important, beautifully written, lucid column is perhaps his unrealistic advice that the lack of LTC planning can be solved fairly easily. Kids should consider paying for their parents LTCi using strategies such as “gifting” LTCi premiums to parents.

The problem with his advice is that kids who are in a position to pay LTCi premiums for their parents are probably at least in their forties. Therefore, their parents are probably at least in their 60’s. Traditional LTCi is pretty difficult to obtain once people enter their 60’s. Not only are prices higher, but qualifying for the coverage health-wise may also be a challenge. The mean LTCi buying age in the US is about 57 years old.

As an aside: we do have excellent asset-based LTC products that might provide a solution if traditional LTCi is out of reach.

The bottom line: do your LTC planning NOW, don’t wait!

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Age Wave, Genworth, Harris Interactive, Honey Leveen, LTCi, MarketWatch, Robert Klein, www.honeyleveen.com

LTCi Current Events

August 25, 2014 by Honey Leveen Leave a Comment

LTCi Current EventsI’ve just returned from my third long-term care insurance (LTCi) conference of the year, where I again was told that sales of new LTCi policies were down 26.5% in 2013 in terms of premiums and 22.9% in terms of number of policies. That’s the bad news.

The good news is that we have many excellent products to help people prepare for the high risk and cost of needing long-term care. Some are new and some are traditional LTCi products. The newer products are non-traditional life insurance and annuity policies specifically designed to protect for LTC. These products greatly leverage premiums paid in if long-term care is needed. These new products are good; the bugs are out. They work.

LTCi premiums can be made reasonable and affordable. What may not be reasonable is needing LTC for anything but a short period of time and not owning LTCi.

If you are middle class-to-affluent, it is irrational to put off responsible LTC planning.

Sadly, most people remain irrational about the need for responsible LTC planning. There is something about the human psyche that dislikes having conversations about unpleasant, yet probable events in the future. I meet many people who can afford to own LTCi, yet instead they spend the cost of LTCi premium on “toys.” Such people are often financially and emotionally unprepared when the need for LTC arises. Sadly, such circumstances will increase as time passes.

This past year, the media has been more helpful than ever when it comes to broadcasting why the government can’t and won’t pay for LTC, as well as how important it is for Americans to plan for LTC on their own, in advance.

Despite this, Americans still refuse to acknowledge this grim, true advice.

Medicaid, a government funded program, pays for the majority of LTC in the US. Click on this link to see my blogs on why Medicaid-funded LTC is not the type of care people who own LTCi would choose.

Please share this information with people you care about. Do not be discouraged when they make up excuses to avoid LTC planning; instead, I hope you’ll keep trying to influence them. The time to plan and be prepared for LTC is now.

Filed Under: Elephant in the Room, Helpful Information About LTC, Information About LTC Tagged With: Center for Long-Term Care Reform, Honey Leveen, Long Term Care insurance, LTC, LTCi, Medicaid, Medicare, Social Security, Stephen Moses, Steve Moses, www.honeyleveen.com

Bad Nursing Home Gets $14 Million Punishment

July 28, 2014 by Honey Leveen Leave a Comment

Bad Nursing HomeA July 25, 2014 story in McKnights, by Tim Mullaney, reports on a $14 million award ($12.5 million was awarded in punitive damages) to the family of a nursing home patient. This story was also covered in the Boston Globe on July 24, 2014.

Quoting from the Globe story, “Judge Krupp instructed the jury that while punitive damages can be awarded for a company’s bad behavior, they can also be used to dissuade other nursing homes from similar conduct…the judge explained that the whole purpose of the punitive award is to send a message that you can’t get away with this anymore.”

How wonderful if the problem could simply be fixed by a judge using the court system to “teach a lesson”!

Again, the 8,000 pound elephant in the room is being ignored.

Especially in Texas, but throughout the country, nursing homes get paid less per diem than it costs them to care for their patients. Medicaid, which pays for the majority of long-term care in the US, needs an overhaul.

There is no doubt in my mind that the nursing home sued accepted mostly Medicaid patients. Here are a couple of blogs I did about murders that occurred in Lexington Place nursing home in Houston. Lexington Place accepts mostly Medicaid paid patients.

When nursing homes do not get paid enough, there are not enough caregivers. This directly affects the quality of care nursing home patients receive.

Click here for several blogs I’ve done that explain why Medicaid paid nursing home care often leads to sad outcomes.

Those of us who own long-term care insurance (LTCi) are far more likely to have the money to avoid nursing homes and receive care at home or in an assisted living facility.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Medicaid Planning Tagged With: McKnights Long-Term Care News & Assisted Living, Medicaid, Nursing Homes, The Boston Globe, Tim Mullaney

Finding Good Nursing Home Care Is Not Easy!

July 2, 2014 by Honey Leveen Leave a Comment

Good Nursing Home CareA newly published survey called “Raising Expectations” by AARP, The Commonwealth Fund and the SCAN Foundation, is a report card for nursing facilities across the country.

The news for us in Texas isn’t good, reports Howard Gleckman in this Forbes piece on this new study, published June 25, 2014. The research finds that on average the most affordable facilities are in Oklahoma, the District of Columbia, Utah, Kansas, Missouri, Georgia, Texas, Iowa, Louisiana, and Arkansas. But nearly half of those states—Oklahoma, Utah, Kansas, and Texas– rank in the bottom 10 for at least 2 of the study’s 3 quality measures. Texas and Oklahoma rank near the bottom for all three.

Most of Mr. Gleckman’s piece describes how unable most Americans are to pay for their own long-term care. I will concentrate instead the correlation between low cost and low quality care.

In Texas, Medicaid nursing home reimbursement is one of the lowest in the country.

Nursing homes are not where anyone with great wealth or long-term care insurance chooses to receive care.

Here in Houston, we’ve made headlines lately with a spate of nursing home murders.

If nursing homes are paid less than it costs them to actually provide care (as they are in Texas), the result is a cascade of problems, including but not limited to  insufficient, underpaid caregivers, inappropriate admissions (accepting extremely needful people in order to get the census up), increased safety and health hazards, patient negligence and warehousing, the list goes on.

The American Association for Long-Term Care Insurance (www.aaltci.org) states that approximately 80 percent of long-term care insurance (LTCi) claims are not for nursing home care. LTCi gives policyholders the ability to instead stay at home or access assisted living. My own experience is that very few of the approximately 300 LTCi client claims I’ve seen paid were for nursing home care.

Because a great many people choose to ignore the need for responsible long-term care planning and are therefore unprepared to pay when the need for care arises, the majority of long-term care in the US is paid for by Medicaid (Welfare). If you don’t plan and you don’t own LTCi, you are greatly increasing your odds of ending up in a nursing home.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: AARP, assisted living, Howard Gleckman, Lexington Place Nursing Facility, Medicaid, Nursing Homes, SCAN Foudantion, The Commonwealth Fund, www.forbes.com

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Honey Leveen, LUTCF, CLTC, LTCP
“The Queen, by Self-Proclamation, of Long-Term Care Insurance (LTCi)”
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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

Email: honey@honeyleveen.com

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