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The Changing Nature Of Long-Term Care In Maine, Paul Saucier, Julie Fralich Jan 2003

The Changing Nature Of Long-Term Care In Maine, Paul Saucier, Julie Fralich

Maine Policy Review

The increase in the proportion of older adults, many with one or more chronic medical conditions, will increase the demand for long-term care. Paul Saucier and Julie Fralich discuss the socio-demographic factors affecting long-term care policy, and describe various state and federal options for providing and financing long-term care. They note that Maine’s long-term care system has so far been able to absorb considerable growth in people by serving increasing numbers in lower-cost settings. Cost sharing has been introduced, and tax policy has been changed to provide incentives for long-term care insurance. Policymakers must now consider whether the current balance …


Dirigo Health: Its Opportunities And Obstacles, Godfrey Wood Jan 2003

Dirigo Health: Its Opportunities And Obstacles, Godfrey Wood

Maine Policy Review

No abstract provided.


Dirigo Health: A Small Business Perspective, Deborah Cook Jan 2003

Dirigo Health: A Small Business Perspective, Deborah Cook

Maine Policy Review

In her commentary Deborah Cook, executive director of the Maine Small Business Alliance, discusses Dirigo Health from the viewpoint of small businesses, whose employees and families, along with the self-employed, represent the largest proportion of uninsured in Maine’s population. She notes that rising costs of health care and insurance are a major threat to the viability of small businesses.


The Challenge Of Preserving And Expanding Affordable Health Care In Maine, Wendy Wolf Jan 2003

The Challenge Of Preserving And Expanding Affordable Health Care In Maine, Wendy Wolf

Maine Policy Review

Maine’s health care system is in crisis. The state’s health care expenditures represent the third highest percentage of Gross Domestic Product in the nation; state health care spending is projected to top $11 billion per year, or $8,291 per person per year, over the next seven years; businesses in Maine pay 12-23% more for coverage than the national and New England state averages; and, the state’s uninsured and vulnerable populations continue to grow. In this article, Wendy Wolf charts the rising cost of health care in Maine and the implications of these costs for all Mainers. In turn, she looks …


Dirigo Health, Sharon Anglin Treat, Michael Brennan, Ann Woloson Jan 2003

Dirigo Health, Sharon Anglin Treat, Michael Brennan, Ann Woloson

Maine Policy Review

Maine’s pioneering Dirigo Health program aims at reducing health care costs, improving quality, and increasing access by providing health insurance coverage to all of Maine’s currently uninsured population. State senators Sharon Treat and Michael Brennan and co-author Ann Woloson provide an overview of the components, structure and financing of the program. They discuss some of the challenges and opportunities posed in Dirigo Health’s implementation, and give an insider’s perspective on the process by which the program was enacted.