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Stephen A. Moses
Founder and president of the Center for Long-Term Care Reform and a visiting fellow with the Paragon Health Institute, known for long-term care policy research and advocacy.
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Dec 11, 2025
• 45min
Better Care for Billions Less: Fixing Medicaid’s Long-Term Care Incentives
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Stephen A. Moses, founder of the Center for Long-Term Care Reform, dives deep into Medicaid's long-term care issues. He reveals how asset sheltering by middle-class families shifts costs to taxpayers, driving up spending and compromising quality. Moses explains the flaws in estate recovery rules and the 'two Mercedes' rule that lets wealthier households qualify for Medicaid. He advocates for reforms to tighten eligibility, eliminate home equity exemptions, and introduce block grants to better control costs and improve access for the most vulnerable.
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