It looks like nursing homes will continue to be able to require residents and their families to agree in advance to arbitrate disputes with the facilities, despite an attempt by federal regulators to curb the practice. Late last year, the Centers for Medicare and Medicaid Services (CMS) issued a major rewrite of its nursing home regulations. Most of those rules [...]
Your family gets together for the holidays. You expect one of those wonderful Hallmark moments but instead...disaster. There are always issues at family get-togethers (Clinton v. Trump, Sue’s gravy v. Tom’s), but when it comes to adult children and their aging parents, the landmines seem to be everywhere. Here are four ways to turn holiday challenges into opportunities—for you, your [...]
Washington is buzzing with speculation about how President-elect Donald Trump and the Republican majority in Congress will remake Medicare and Medicaid. But neither the incoming administration nor the Hill GOP is giving much thought to what those changes would mean for frail older adults and younger people with disabilities. By failing to do so, they are creating a potential crisis [...]
Older adults with chronic illness often need a combination of medical treatment and social and spiritual supports. Together, they can make people healthier and happier, and less likely to suffer acute episodes that result in preventable hospitalizations. The medical treatment comes from doctors, hospitals, and health systems while the spiritual support comes from faith communities. And, in many cases, so [...]
Last month, Genworth, the biggest seller of long-term care insurance policies in the US, announced it was being acquired by a Chinese investor, China Oceanwide Holdings. I spoke with Genworth CEO Tom McInerney about the deal, the future of long-term care insurance, and the role of government in covering true catastrophic risk. Here is an edited version of our conversation. [...]
An important new national study finds that, after adjusting for age, Americans 65 and older are less likely to get dementia than in the past. The report, published in the Journal of the American Medical Assn (JAMA) confirms previous regional studies in the US as well as recent research in Europe. The reasons for this decline in prevalence of the [...]
During his presidential campaign, Donald Trump was largely silent on Medicare, though he often suggested he’d leave the program untouched. Not any more. It now looks as if Trump may push for major changes in the principal health care program for older adults and some younger people with disabilities. But what will he do? He has not said, but House [...]
The election of Donald Trump, along with continued Republican majorities in the House and Senate, will likely result in major cuts in federal programs that benefit older adults and younger people with disabilities. Some of the programs that could be targeted: Medicaid, important reforms in the way health care is delivered through Medicare, and services funded through the Older Americans [...]
There is no doubt that the widespread over-use of opiods has become a serious public health problem in the US. But I worry that older adults with palliative care needs may become unintended casualties of efforts to reduce the use and accessibility of these powerful drugs. The opiod problem is real. Nearly 30,000 Americans died from use of these drugs [...]
Genworth Financial, the largest seller of long-term care (LTC) insurance policies, has agreed to be acquired by a privately-held Chinese investment firm. At the same time, it announced it will reserve an additional $400 million to $450 million against future long-term care claims. The twin Oct 23 announcements are further indication of just how brutal the long-term care insurance business [...]