HGleckman

About Howard Gleckman

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So far Howard Gleckman has created 552 blog entries.

States Are Beginning To Move COVID-19 Patients From Hospitals To Nursing Facilities

Last week, I suggested that in the wake of the coronavirus pandemic, nursing homes may need to take patients from over-burdened hospitals. At the same time, care settings such as assisted living facilities (ALFs) might have to accept nursing home residents who must be relocated to make room for those post-acute patients. Now, it looks like that is beginning to [...]

By |2020-03-31T11:49:05-04:00March 31st, 2020|nursing homes|0 Comments

Are There Alternatives To Hospital Care For COVID-19 Patients?   

The coronavirus pandemic is stressing hospital capacity to its limits, and one way to reduce this pressure it to move patient care downstream. That means keeping as many patients as possible out of the hospital in the first place, and getting those who have been hospitalized discharged as quickly as possible to make room for other, more critical patients. The [...]

By |2020-03-23T12:03:38-04:00March 23rd, 2020|Health Care|0 Comments

Coronavirus Is Changing The Way We Care For Frail Older Adults

The coronavirus pandemic and the fast-moving federal response to it is upending long-standing rules and practices for caring for older adults. Some changes will be incredibly disruptive, while others may   increase support for vulnerable seniors. Here are some of the ways they are affecting how we care for our parents. No more nursing home visits. Just a week ago, the [...]

By |2020-03-16T09:47:45-04:00March 16th, 2020|family caregivers|1 Comment

In Response To Coronavirus, Mom’s Nursing Home Asks You To Not Visit. What Should You Do?

As the coronavirus spreads, many nursing homes and assisted living facilities are discouraging family members from visiting loved ones, and they are screening those who do come. President Trump created additional confusion last night when he urged facilities to “suspend all non-essential visits.” What should you do? There is good reason for concern. While there is no evidence that older [...]

By |2020-03-12T13:55:07-04:00March 12th, 2020|nursing homes|1 Comment

What You Should Know About Coronavirus, Nursing Homes, And Senior Living Communities

The other day, someone asked me whether, given the coronavirus outbreak, her 93-year-old aunt should go a skilled nursing facility for rehab following a week-long hospital stay. Her question is an important one: What should you do if you or a family member are living in a nursing home or assisted living facility (ALF), or may need to go to [...]

By |2020-03-09T12:09:18-04:00March 9th, 2020|Senior housing|0 Comments

Why Are So Many Nursing Homes Closing?

Faced with growing pressures from payors, rising costs, the need to replace old buildings, increased competition from other forms of residential care, and shrinking demand from older adults who prefer to age at home, nursing homes are shutting their doors at a rapid pace. There still are more than 15,000 nursing facilities in the US—more, in fact, than McDonald’s franchises. [...]

By |2020-03-02T11:38:48-05:00March 2nd, 2020|nursing homes|0 Comments

Is Medicare’s New PDGM Home Care Payment Making It Harder To Get Physical Therapy?

No, PDGM is not a new disease. It is, instead, the way Medicare now pays for home health care. Shorthand for The Patient-Driven Groupings Model, PDGM is the Trump Administration’s latest effort to reduce Medicare costs. And it appears to be making it much harder for some patients living at home to receive occupational, physical, and speech therapy. PDGM is [...]

By |2020-02-14T10:22:54-05:00February 14th, 2020|Medicare|0 Comments

Are Tax Credits The Best Way To Subsidize Long-Term Care Costs?

Most major Democratic presidential hopefuls have proposed new government assistance for those receiving long-term supports and services and their families. Mayor Pete Buttigieg has proposed public catastrophic long-term care insurance. Senators Elizabeth Warren and Bernie Sanders would make home-based care a Medicare for All benefit. And former vice president Joe Biden and Sen. Amy Klobuchar would create new tax credits [...]

By |2020-02-03T09:12:03-05:00February 3rd, 2020|long term care reform|0 Comments

A Closer Look At The Democratic Presidential Candidates’ Long-Term Care Plans

Most of the major Democratic presidential hopefuls have proposed ways for government to support frail older adults and their families. But they have chosen three very different models: tax credits; universal government-funded benefits; and public long-term care insurance. Which design makes the most sense? Here’s a first look. Tax credits: Former vice president Joe Biden’s plan includes a $5,000 non-refundable tax [...]

By |2020-01-27T14:42:41-05:00January 27th, 2020|long term care reform|0 Comments

How The Democratic Presidential Candidates Would Address Long-Term Care

All the major Democratic presidential hopefuls have proposed significant plans to support those receiving long-term supports and services and their families. While this amount of attention to long-term care is unprecedented, the candidates are taking three broadly different approaches to the problem: tax credits; universal government-funded coverage; and public long-term care insurance against catastrophic costs. Most also support higher pay [...]

By |2020-01-20T16:56:54-05:00January 21st, 2020|long term care reform|0 Comments