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THE MEDIA REALITY CHECK: A Content Analysis of Recent News Coverage of Long-Term Care Ins urance

Presented by: David Michaelson, Ph.D. OBJECTIVE

} Evaluate coverage of long-term care insurance in major consumer media by determining:

¾ Overall accuracy of coverage

¾ Misstatements

¾ Incomplete information

¾ IliInclusion of fbift basic facts

¾ Omission of basic facts

2 METHODOLOGY

} Content analysis of articles on long-term care insurance appearing in major media from January 1, 2002 through June 30, 2004

} Analysis based on codes organized around three areas:

¾ Basic facts about long-term care insurance

¾ Misstatements about long-term care insurance

¾ Omissions of basic facts about long-term care insurance

3 METHODOLOGY

} Codes cover seven basic categories

¾ Definition of Long-Term Care

¾ Definition of Long-term Care Insurance

¾ Qualifications for Long-Term Care Insurance

¾ Benefits of Long-Term Care Insurance

¾ Purchase Considerations

¾ Product Features

¾ Costs of Long-Term Care Insurance } Codes developpgyed in consultation with leading industry experts, including experts at MetLife

} Codes refined upon of review of articles

} CdiCoding done in “con tex t”ft” of eac h ar tilticle to ensure balanced and fair evaluation of content 4 METHODOLOGY

} Articles identified through “key word” search of database

¾ Boolean search string using “‘long term care AND insurance’ OR ‘assisted living AND insurance’ OR ‘nursing home AND insurance’” was basis of search

¾ 295 articles met initial search criteria

¾ Search supplemented with review of select publication webitbsites to assure accuracy and comp ltleteness

} Each article abstract reviewed for content to ensure relevance to analysis

} 320 articles qualified for full review yielding 114 articles specifically focusing on long-term care insurance

5 MEDIA SOURCES

Wire Services Magazines

} } AP Online Business Week

} } Newswires

} Fortune } Dow Jones Business News } FbForbes } Dow Jones Newswires } Kiplinger’s Personal Finance } News } Kiplinger’s Retirement Report

} Modern Maturity (AARP)

} Money Magazine

}

} SmartMoney

} Time

} U.S. News & World Report

6 MEDIA SOURCES

} Arizona Republic } Newark Star-Ledger

} Atlanta Journal-Constitution } (N.Y.)

} Boston Globe } New York Post

} Chicago Sun-Times } New York Times

} } Philadelphia Inquirer

} Cleveland Plain Dealer } Portland Oregonian

} Daily New s (N. Y. ) } San Diego Union-Tribune

} Dallas Morning News } San Francisco Chronicle

} Detroit Free Press } Seattle Post-Intelligencer

} Houston Chronicle } St. Petersburg Times

} } Journal

} Miami Herald } Post

} Minneapolis Star-Tribune } USA Today 7 MEDIA SOURCES Number of Articles Per Year

} Trend over past 3 NbNumber of fAtilOL Articles On Long-Term years shows Care Insurance Each Year increasing coverage 60 58 of long -term care 50 46 39 insurance 40

¾ 26% increase 30

since 2002 20

10

0 2002 2003 2004 (annualized)

8 ANALYSIS

} Examples of basic facts used in the analysis include:

¾ Individuals who need long-term care need help with the Activities of Daily Living (ADLs).

¾ Long-term care services are delivered in a variety of places such as a nursing home, in your home, an assisted living facility, an adult day care center and a hospice facility.

¾ Long-term care insurance is one method of providing funds to ppyay for lon g-term care services.

¾ The older you are, the more likely that you will need long- term care.

¾ The time to plan for long-term care is before you need it.

¾ Long-term care insurance helps individuals protect their financial assets.

¾ Long-term care insu rance helps prov ide individ uals w ith dignity and choice to maintain a certain lifestyle. 9 OVERALL RESULTS Gaps In Coverage OVERALL RESULTS Gaps In Coverage

} Over eight in ten PtiOfAtilCtiiProportion Of Articles Containing (85%) articles have One or More Errors or Omissions Misstatement, or Omission of Basic Fact gaps that need to NENo Errors or O Oimissi ons be filled 15%

Contains Errors or Omissions 85%

11 OVERALL RESULTS Gaps In Coverage

Distribution of Errors & Omissions } The basic definitions of Byygy Category long-term care and

long-term care Product Consideration 11% insurance as well as the Benefits of LTC Product Features 27% 4% Costs of LTC bfititdithbenefits associated with 4% these products are the Define LTC most common 19% categories where errors and omissions occurred Qualifications for LTC 15% Define LTC insurance 19%

12 OVERALL RESULTS Gaps In Coverage

} Cittt&iiCommon misstatements & omissions are centered on the need for and bfitflbenefits of long-titerm care insurance.

13 WHAT WE LEARNED Gaps In Coverage

Most Commonly Reported Gaps in Coverage About Long -Term Care Insurance Proportion of Articles Containing Each Error or Omission

MISSTATEMENTS All LTC insurance is expensive 9% Only needed with chronic conditions 5% Most will never need LTC insurance 4% OMISSIONS LTC insurance helps protect assets 37% LTC insurance can help pay for LTC services 35% LTC insurance is one method of funding LTC services 34% LTC insurance helps maintain lifestyles 28% LTC insurance helps with Activities of Daily Living 25% 6 basic activities of daily living 21% LTC differs from acute care 20%

0% 5% 10% 15% 20% 25% 30% 35% 40%

14 WHAT WE LEARNED Gaps In Coverage

Proportion of Articles Omitting Basic Facts } Omissions of basic About Long-Term Care Insurance vs. facts are significantly Contains Misstatement

more prevalent than 100%

82% thilithe inclusion o f 80% misstatements 60%

¾ 21% contain a misstatement 40% 21% 20% ¾ This compares to 82%

omitting a bas ic fac t 0% Omit Basic Facts Contains Misstatement

15 OBSERVATIONS & CONCLUSIONS OBSERVATIONS & CONCLUSIONS

} Americans need basic information on long-term care insurance that is not commonly reported in articles

¾ The definition of what long-term care insurance is

¾ The benefits long-term care insurance offers

17 OBSERVATIONS & CONCLUSIONS

} Americans also need to know:

¾ The benefits of long-term care insurance are more than just financial and include emotional and lifestyle benefits for themselves as well as their families

¾ MdiidiMedicaid is not a pract ilical so lilution for many people who need basic assistance with Activities of Daily Living

¾ Acute care insurance will not pay for long- term care needs

18 THE MEDIA REALITY CHECK:

A Content Analysis of Recent News Coverage of Long-Term Care Insurance

Presented by: David Michaelson |