Any idea how we pay for it?
1) Somehow limit the amount Medicaid is willing to pay the LTC facility.
2)The look back period has gone from 3 to 5 years. Might increase that to 7 or 8.
3) If Obamacare can care require a person to have insurance, why not require LTC insurance when you get a certain age? It would probably just be a cost-shift, as the government would probably end up subsidizing it,but it might be worth a shot.
4) There could probably be something be done to varying levels of care that are needed to reduce costs but it would be require a fairly large facility to be able to do mush with that.