Is the growing need for long-term supports and services (LTSS) by older adults driving big increases in Medicaid spending? Not according to a new study by Don Redfoot and my Urban Institute colleague Melissa Favreault. Indeed, they found that while Medicaid enrollment and expenditures for older adults grew in recent decades, it had far less effect on the program than [...]
You hear it all the time, from doctors, patients, and critics of Medicare: “It is impossible to find a doctor who will take Medicare. If you find one, you will have to wait forever for an appointment.” There is just one problem: The story that patients cannot access care from Medicare physicians is an urban myth. It is not true. [...]
In recent weeks, I’ve had no fewer than a half-dozen conversations with friends about a difficult—and often embarrassing--issue. No, it isn’t sexual dysfunction, incontinence, or money problems. It is hearing loss. One of every three Americans aged 64-75 has lost some hearing. Half of those 75 and older have trouble hearing. The longer we live, the more we are going [...]
The Trump Administration and a bipartisan majority in Congress have moved to allow Medicare Advantage managed care plans to offer a wide range of personal services such as home delivered meals, transportation, and bathroom grab bars—to members who need them. This would be a sea change in the way Medicare has supported older adults with chronic conditions for the past [...]
The Trump Administration has proposed major changes in the way Medicare pays doctors, as well in the ways hospitals disclose prices. Among the immediate adjustments: The government would pay more for some procedures such as kidney dialysis and less for others such as hip and knee replacements. It would also make major revisions to an ambitious new payment model that [...]
The Trump Administration has taken a modest step towards expanding the use of remote monitors to track blood pressure and other vital signs for Medicare recipients living at home. While there is little evidence so far that remote monitoring improves health outcomes, advocates for seniors as well as device manufacturers believe the tools can make it more likely that frail [...]
Increasingly, older Americans are likely to die at home, and not in a hospital. And more seniors are using hospice care as they near end of life. However, stubbornly large numbers of Medicare beneficiaries still land in intensive care units or find themselves shuttled from home to hospital and back again in their last months of life. A fascinating and [...]
In a series of recent decisions, the Trump Administration is taking steps that will sharply raise insurance premiums for people aged 50-64, just before they become eligible for Medicare. While these steps are likely to make coverage less expensive for young, healthy consumers, they will inevitably raise costs for middle-aged people with chronic conditions. For many, insurance will become unaffordable. [...]
Representative Frank Pallone (D-NJ), the senior Democrat on the House Energy and Commerce Committee, is proposing a new universal Medicare long-term care benefit. His bill, still in draft form, initially would provide a daily cash benefit of about $100 after a two-year waiting period. As an alternative to the waiting period, Pallone is also considering a cash deductible that would [...]
It was hard to miss the headlines coming from yesterday’s Medicare Trustees report: Medicare to go broke three years earlier than expected, trustees say Government Says Medicare won't be able to cover costs by 2026 Report puts Medicare insolvency sooner than forecast Let’s get right to the point: Medicare is not going “broke” and recipients are in no danger of [...]