The document discusses the crucial role of elder law attorneys in planning for the aging care needs of seniors, emphasizing the importance of pre-planning and legal assistance in navigating health care and financial concerns. It highlights various strategies such as medicaid planning, asset protection, and caregiver agreements to enhance the quality of life for seniors while addressing their personal dignity and independence. The need for education, support, and collaborative relationships among families, professionals, and attorneys is underscored to effectively manage the complex needs of the aging population.

1. Elder Law Attorneys & the Comprehensive Approach to Planning for the Aging Care Needs of Seniors September 26, 2008 Presented by: Serena L. Brock The Intersection Between Legal & Health Care

2. Pre-planning and education Dot Com bust 1997-2001 - losses never recovered 9/11 Estate Tax Law The Deficit Reduction Act, 2005 Medicaid and in home care Changing the way Americans plan

3. Longevity/ Active Lifestyle Family Care Options Greater enhancement of quality of life Trusted caregiver Less risk for neglect Financial concerns Avoid Crisis 3 generation homes Addressing the Complex Needs of the Aging Population

4. Time to think, learn and listen - families and professionals Their perspective Wishes Financial concerns Personal dignity and independence Have you had the Talk?

5. Trusted resources HCA FA LTC/AL D/C Thought leader Benefits Education Support referrals Building a Network

6. Asset protection Healthy spouse/ institutionalized spouse Complex planning Tools Excellent training and support organizations Medicaid Planning

7. Most seniors want to remain at home as long as they possibly can. Home care costs -average - long term Adult child caregiver - personal and financial toll Presumption: love and affection Amount is an uncompensated transfer Evidence to avoid scrutiny -previous care - residence - journal - physician Personal Service Agreements / Caregiver Contracts

8. Reasonable compensation Life care agreement Must clearly specify nursing home plans/obligations Taxable income Caregiver qualifications Personal Service Agreements/Caregiver Contracts

9. Medicaid Planning Focus Life Care Planning Model Tapping unprecedented wealth Paradigm Shifts in Elder Law

10. Large population Increased revenues - Medicaid applications - simple to complex planning Deeper counseling Longer client Subsequent referrals Practice Benefits

11. Counseling Significant planning opportunities Financial savings - wont run out of money Trusts, transfer of assets purchase of annuities or increased income and resource allowances for the healthy spouse. Asset preservation Peace of mind Attorneys Role

12. fundamental to the provision of healthcare in this country Importance of pre-planning Synergistic relationships Greater client support and services Eliminate the fear, concerns of attorneys The Legal/Health Intersection