In 2020, the Congressional Budget Office analyzed single-payer health care systems that were based on the Medicare fee-for-service program and estimated the costs of five illustrative options. One of those options included a benefit for long-term services and supports (LTSS).
The benefit was expansive and open to anyone with limits to one or more activities of daily living or instrumental activities of daily living.
It entailed no cost sharing.
It would cover both home- and community-based services and services provided by institutions.
CBO has not analyzed creating a similar universal LTSS benefit without a single-payer health care system.