The Trump Administration is abolishing the office that manages and coordinates most federal programs for older adults and younger people with disabilities who live at home. At the same time, it is restructuring two offices that provide independent evaluation and analysis of patient safety and long-term care. The elimination of the Administration for Community Living (ACL) will be a major [...]
Will the Trump Administration push more beneficiaries into Medicare Advantage managed care plans? Will the Administration limit payments to the insurance companies that run those plans? Will it do both? Whatever Trump does, the consequences will be significant for older adults and younger people with disabilities who rely on Medicare for their health care. Done well, an overhaul of MA [...]
President Trump’s advisor Elon Musk went on TV the other day to say he’d cut up to $700 billion in fraud and waste from Social Security, Medicare, and Medicaid. He can’t. The inevitable result: He’ll have to either slash benefits for program recipients or fall far short of his goals for cutting government spending. Or, perhaps, both. The Trump White [...]
Despite President Trump’s repeated promises that ”we’re not touching Social Security, other than to make it more efficient,” it appears his Administration is planning deep cuts in the program’s administration. And that inevitably will mean trouble for those receiving or applying for benefits. By slashing staff and tinkering with its internal computer systems, the Trump Administration is likely to make [...]
In a seemingly off-the cuff television remark, President Trump said he’d protect Medicaid from government spending cuts. Don’t count on it, especially since at nearly the same time, and after dithering for months, Trump endorsed a draft House Republican budget framework that anticipates cuts of as much as nearly $900 billion in Medicaid over the next decade. Supporters of deep [...]
Medicare Advantage prior authorizations have few friends. Doctors hate them. Patients hate them. Politicians say they hate them and introduce bills to curb them. But how onerous are they really? Less than many people think. But they still create opportunities for insurance companies to maximize profits at the expense of needed care. And they can be improved. Prior authorizations are [...]
Despite his vow to close the US borders to nearly all immigrants and deport millions of others, President-elect Trump says he’ll continue special H-1B work visas for tech workers. That decision came in response to some of his Silicon Valley supporters, who insist foreign labor is critical because there are not enough US-born engineers and others to do this important [...]
Later this year, Rep. Tom Suozzi (D-NY) will reintroduce his public catastrophic long-term care insurance bill, called the WISH Act. Suozzi is doing all the right things: Looking for Republican support and trying to engage the private insurance industry, long-term care providers, and employers, as well as advocates for older adults and people with disabilities. But he has a big [...]
President-elect Donald Trump prides himself on making deals. Here is one for him: Keep Joe Biden’s commitment to have Medicare pay for GLP-1 drugs such as Ozempic and Wegovy for weight loss. But only if the drugmakers agree to substantially reduce their prices right away. Such a move would be fraught for Trump and his Republican allies on multiple levels. [...]
The Older Americans Act, the umbrella federal law that includes programs such as Meals on Wheels, senior transportation, information services, adult day, and caregiver support was hours from being expanded and winning congressional approval for another five years. Now, its fate has become far more uncertain. Its all because the OAA, despite broad bipartisan congressional support, got caught up in [...]