Copyright © 2013 University of Minnesota. All Rights Reserved Long-Term Health Care Planning: Preserving Your Farm or Small Business Gary A. Hachfeld Extension Educator - Ag Business Management Triennial Conference Overland Park, KS. June 9-13, 2013
Dec 23, 2015
Copyright © 2013 University of Minnesota. All Rights Reserved
Long-Term Health Care Planning: Preserving Your Farm or Small
Business
Gary A. Hachfeld
Extension Educator - Ag Business Management
Triennial Conference
Overland Park, KS.
June 9-13, 2013
Copyright © 2013 University of Minnesota. All Rights Reserved
Program Goals• Introduce farm/ranch & small business owners &
operators to the financial importance of long-term health care planning.
• Outline federal medical programs and how individuals qualify.
• Dispel the many misconceptions about protecting business assets using these federal programs.
• Farm/ranch & small business owners & operators develop & implement a long-term health care plan to protect their business assets.
Copyright © 2013 University of Minnesota. All Rights Reserved
Delivery, Materials & Marketing
• Face-to-Face workshop setting - PowerPoint slides.
• Workbook:
- PowerPoint slides.
- Case study examples.
- Internet resources.
• “Sponsorship Model”
- Market to local business sponsors.
- Sponsor pays U of MN a program fee. Sponsor selects date, time, location, recruits participants, pays all
additional costs.
Copyright © 2013 University of Minnesota. All Rights Reserved
Program Outline
• Topics discussed:
- Long-term care issues, terms, costs.
- Medicare & Medicare supplemental insurance.
- Veterans long-term care programs.
- Medicaid program:
• Asset assessment & eligibility examples.
• Income eligibility & examples.
- Long-term care financing options.
- Long-term care insurance.
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Evaluative Methodology
• Stage 1: End-of-Meeting evaluations:
- Each participant is asked to complete a one page
evaluation following each workshop:
♦ Focus on increased understanding of key educational points.
♦ Status of their personal long-term health care plan.
• Stage 2: Follow-up evaluation six months following each workshop:
- Mailed to participants with return envelope:
♦ Focus on progress toward developing & implementing their long-term health care plan.
♦ Obstacles and challenges encountered.
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Participant Demographics2012 - 2013
• Programs delivered in Minnesota thus far.
• 110 total attendees
• 56 farm/ranch/small businesses.
• 19 local communities represented.
• 3 local program sponsors involved.
• Total number of workshops - 3.
• 70.8% had no long-term health care plan.
• Age range: 42 to 89 yrs., 94.5% over age 55.
• 57.3% male and 42.7% female.
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End-of-Meeting EvaluationResults 2012 - 2013
Participant’s Self-Reporting Whether Their Understanding of Educational Points Increased Due to
Attending a Workshop (2012 – 2013)*
* Used Likert Scale with 1 = “Strongly Disagree’ to 5 = “Strongly Agree”
Educational Points MedianScore
AverageScore
StandardDeviation
% Indicating“Strongly
Agree”Or “Agree”
N
Understanding of the importance of having a long-term health care plan.
4
4.48
0.50
100.0% 65
Greater understanding of Medicare and what health costs the program covers.
4
4.37
0.49
100.0% 65
Greater understanding of Medicaid and what health care costs the program covers.
4
4.43
0.50
100.0%
65
Greater understanding of Medicaid qualifications requirements, spend-down provision and income rules.
4
4.40
0.49
100.0% 65
Greater understanding of long-term care insurance as a long-term health care planning tool.
4
4.38
0.49
100.0% 65
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Follow-up EvaluationResults 2012 - 2013
Number/Percentage of Participants Starting/Completing Long-Term Health Care Plan
(2012 – 2013)*
Year Item
2012 - 2013
Total Number of
Individuals Returning Surveys
Number/Percentage Starting the Long-Term Health Care Planning Process
19 (63.3%) 30
Number/Percentage of Those Starting Who Have Completed the Long-Term Health Care Planning Process
13 (73.7%) 30
Range in Self-Reported Net Worth Protected Due to Having a Plan in Place
$300,000to
$10 million30
* Number & Percentage of Those Returning Follow-Up Evaluations Only.
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Economic ImpactSelf-Reported
byParticipants
$29.7 Million DollarsProgram Impact
Based Upon Participant Self-Reported Net Worth Protected
Based Upon Completing a Long-Term Health Care Plan
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Long-Term Care Insurance Plan Type Selected
Standard Long-Term
Care Insurance
“Hybrid” Long-Term
Care Insurance
Self InsurePlan
Participants Selecting Insurance by Type
12 (60.0%) 3 (15.0%) 3 (25.0%)
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Cost – Benefit Analysis
• Total program cost = $10,917.76
• Includes staff salary & benefits (prep, travel, presentation, & evaluation time), mileage expense, lodging expense and participant materials.
• Total program revenue = $1,500.00
• Includes $1,500 sponsorship fees.
• Net program cost = $9,417.76.
Copyright © 2013 University of Minnesota. All Rights Reserved
Cost – Benefit Analysis
• For every net dollar of program cost spent, we generated $3,153.61 in financial impact !
• Rate of Return on Investment was equal to 315,261 %
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What Have We Learned?
◘ Is a universal issue regardless of business, location, age, etc.
◘ Program demand continues to grow.
◘ “Sponsorship Model” has strengthened our working relationships with local businesses leading to other opportunities plus enabling us to generate revenue.
◘ Works very well not having attorneys present material.
◘ Participants state the workbook is a valuable resource.
◘ Evaluative data shows participant behavioral change based upon knowledge increase of subject matter (outcomes).
◘ Evaluative data shows significant economic impact resulting from the program effort (impacts).
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Contact Information
Gary A. Hachfeld
Extension Educator
Agricultural Business Management
University of Minnesota Extension
507-389-6722