The Changing Nature of Long-term Care in Maine

Document Type


Publication Date



Disability and Aging, Cutler Institute, USM Aging Initiative, Policy

Publication Title

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 of public and private financing of long-term care is sustainable in the long run.