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Obama Cracks Down on Nursing Home Quality

Skilled nursing facilities whose patients are too frequently admitted to the hospital would face stiff new penalties according to the deficit reduction plan proposed by President Obama on Sept. 20. These admissions are often caused by falls, infections, or poor medication management. Overall, as part of a broad deficit reduction plan, Obama would cut more than $300 billion from projected [...]

By |2011-09-28T14:49:45-04:00September 28th, 2011|Hospitals, Medicaid, Medicare, nursing homes|4 Comments

The CLASS Act on Life Support

The Community Living Assistance Services and Supports (CLASS) Act, the national long-term care insurance program included in the 2010 health reform law, is on life-support.  It is increasingly likely that the Obama Administration will never develop the actual insurance policies that were supposed to be available to consumers next year. On Wednesday, the Senate Appropriations Committee deleted all of the [...]

The Phony CLASS Act Scandal

Republican critics of the CLASS Act--the national long-term care insurance program that was included in the 2010 health law-- have concocted a phony scandal about how the law passed. As I have written often, CLASS  is deeply flawed (though well-intended). But there is a big difference between a poorly executed idea and a scandal. In a report that is as partisan as it is [...]

By |2011-09-16T13:34:53-04:00September 16th, 2011|Health reform, long-term care insurance|7 Comments

Which States Provide the Best Long-Term Services?

The quality of care for the frail elderly and adults with disabilities and the assistance available for their family caregivers varies widely among the states. Now, for the first time, researchers at AARP have tried to measure where you can get the highest quality care. And the differences among the states are even more dramatic than I thought. A handful, including Minnesota, [...]

Dealing with the Loneliness of Aging

My dad, who had congestive heart failure, lived on the second floor of a garden apartment building that had no elevator. As the disease made him weaker, he could no long walk down the stairs. And for the last year of his life, he was trapped in his own apartment. An "outing" was a slow walk, and eventually, a wheelchair ride about 100 feet to the [...]

By |2011-09-07T14:56:23-04:00September 7th, 2011|Aging, aging in place, Senior housing, transportation|11 Comments