HGleckman

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So far Howard Gleckman has created 575 blog entries.

A Stakeholder Commission Correctly Diagnoses The Problems With Nursing Homes and Covid-19, But Soft-Peddles The Solutions

A national Coronavirus Commission on Safety and Quality in Nursing Homes has identified more than two dozen major flaws in the response of government and the nursing home industry to the covid-19 pandemic. However, the panel, created by the Trump Administration, was relatively passive in its recommendations for how to fix those shortcomings. It feels a bit like reading the [...]

By |2020-09-18T14:36:49-04:00September 18th, 2020|nursing homes, Uncategorized|0 Comments

Moving More Medical And Long-Term Care To Seniors’ Homes

Changes in technology, new government payment models, managed care, and consumer preferences all are shifting services for frail older adults and younger people with disabilities from facilities to home. These models will create new options for consumers and threaten to disrupt the business models of hospitals, traditional nursing homes, and other long-term care facilities. These care models come with a [...]

By |2020-09-14T11:27:40-04:00September 14th, 2020|aging in place|0 Comments

A “Herd Immunity” Strategy To Combat COVID-19 Could Be A Disaster For Older Adults

President Trump’s newest White House pandemic adviser, Scott Atlas, reportedly is advocating for the strategy of building “herd immunity” to stop the spread of coronavirus. Atlas, who is a neuroradiologist and fellow at the Hoover Institution, would allow the virus to spread as widely and quickly as possible to build immunity in the overall population. Think of it as the [...]

By |2020-09-03T10:59:50-04:00September 3rd, 2020|Health Care, Uncategorized|0 Comments

Hundreds of Thousands Of Nursing Home Residents Don’t Need To Be There

Hundreds of thousands of older adults and younger people with disabilities are living in nursing homes only because that is where Medicaid drives them. They have no clinical need for skilled nursing care, and, if better options were available, many could be living in other settings, including their own homes. Medicaid—the joint state/federal health care program for the very poor—sends [...]

By |2020-08-28T12:42:22-04:00August 28th, 2020|nursing homes|0 Comments

Short-Term Bailouts Won’t Fix Nursing Homes or Medicaid Home-Based Long-Term Care

The illness and death that covid-19 has brought to older adults has created an historic opportunity for the US to rethink the way it delivers and pays for long-term care. Yet, much of the long-term care industry and even many advocates for older adults and younger people with disabilities are lobbying for short-term fixes, not real reform. Nursing homes and [...]

By |2020-08-20T10:19:02-04:00August 20th, 2020|long term care reform|0 Comments

The Trump Administration Thought About Reforming Long-Term Care Insurance. But Decided Not To

Two years ago, the Trump Administration quietly began a review of the nation’s long-term care (LTC) insurance system, focused primarily on ways to enhance private coverage. This week, just as quietly, an administration task force released its report. Unfortunately, for the most part, the group was unwilling to commit to any meaningful changes to a badly broken system. It made [...]

By |2020-08-12T16:47:44-04:00August 12th, 2020|long-term care insurance|0 Comments

Biden Makes A Big Commitment To Home-Based Medicaid Long-Term Care, But Gaps Remain

Likely Democratic presidential nominee Joe Biden has proposed a major new initiative to encourage state Medicaid programs to expand home and community-based care for low-income older adults and younger people with disabilities. While the proposal is ambitious, it addresses the long-term care needs of the Medicaid population in an especially complicated way. It still leaves huge gaps in Medicaid-based care [...]

By |2020-08-20T10:19:34-04:00July 21st, 2020|campaign 2020|0 Comments

Joe Biden Is Slowly Acknowledging The Nation’s Need To Reform Long-Term Care

Likely Democratic presidential nominee Joe Biden is, very slowly and cautiously, acknowledging the need to reform the way we support frail older adults and younger people with disabilities. In recent days, a task force created by his campaign made several proposals to expand home and community based care under Medicaid and support both family and paid caregivers. Since covid-19 has killed more [...]

By |2020-07-19T14:31:28-04:00July 19th, 2020|long term care reform|2 Comments

As Covid-19 Batters The Sunbelt, Have We Learned Anything About Protecting Long-Term Care Residents?

What have we learned from the 50,000+ covid-19 deaths of residents and staff in long-term care facilities? As the pandemic spreads aggressively in states such as California, Texas, Arizona, and Florida, we are about to find out. Multiple studies found that facility-based covid-19 cases and deaths from March-May closely tracked the experience in surrounding communities: If a facility was located [...]

By |2020-07-10T12:41:12-04:00July 10th, 2020|nursing homes|1 Comment

We Are Having A National Conversation About Race And Policing. Why Aren’t We Having One About Race And Long-Term Care?

Nearly every American knows who George Floyd was and how he died.  Tens of thousands around the country took to the streets to protest his May 25 killing by a Minneapolis police officer. Just a month after his death, the US House of Representatives passed a major police reform bill—normally a process that would take years. If George Floyd has [...]

By |2020-06-30T15:13:21-04:00June 30th, 2020|long term care reform|0 Comments