Continuing Care Retirement Communities Political, Social, and Financial Issues

Here is the first detailed study of the economic, social, and administrative implications for the establishment of continuing care retirement communities (CCRCs). Leaders in the field of optional living arrangements for the elderly examine models of continuing care retirement communities throughout the United States. A wide range of sometimes conflicting views are vigorously discussed--by proponents of continuing care communities as well as by representatives from states that do not allow the existence of such institutions. Other intensely debated topics include existing and recommended financial and legal regulations of the industry; legal, financial, and ethical implications of continuing care communities; and a sociohistorical overview of the concept of continuing care.

Contents Preface Prologue and Introduction Part I: Continuing Care Retirement Communities: An Overview Continuing Care--Consumer Choice: From Compact to Contracts Long-Term Care Alternatives: Continuing Care Retirement Communities Part II: Legal, Financial, and Ethical Issues Legal Regulations of the Continuing Care Retirement Community Industry as a Whole Continuing Care Retirement Communities: Issues in Financial Managment and Actuarial Prediction Ethical Issues in Continuing Care Part III: Evolving Management Structures: A Case Study Evolving Management Structures: A Case Study of a Life Care Village at Pine Run, Doylestown, Bucks County, Pennsylvania Part IV: Background Information on the Situation in New York State Policies on Retirement Communities in New York State: Historical Background and Current Status From the Vantage Point of Health Care Policies on Retirement Communities in New York State: Historical Background and Current Status From the Vantage Point of Social Services The Prospect for the Future of Continuing Care Retirement Communities in New York State Part V: Looking Toward the Future: Issues to Be Considered and Recommendations for Action Programmatic and Operational Issues of Continuing Care Retirement Communities Financial and Actuarial Steps Recommended for the Development of a Continuing Care Retirement Community in New York State Legal Barriers in New York State and Recommendations on How to Deal With Them New York State Public Policy Barriers, Changes Needed, and Recommendations for Action Part VI: Executive Summary

Morrison, Ian; Frisch, Susana; Bennett, Ruth; Gurland, Barry