Yesterday, I joined three of the most creative thinkers in the long-term care policy world to discuss the future of personal care services for the elderly and disabled in an era of shrinking government resources. My fellow panelists at the event, sponsored by The Urban Institute, were Robyn Stone, author of Long-Term Care for the Elderly and senior vice president for research at Leading Age, [...]
On Tuesday, Nov 8, I'll be moderating an important discussion on the future long-term care in an era of shrinking government. My fellow panelists will be Robyn Stone, author of Long-Term Care for the Elderly and senior vice president for research for LeadingAge, a trade group that represents non-profit providers ; Len Fishman, the CEO of Hebrew Senior Life, an innovative senior services provider in Boston, [...]
The Metlife Mature Market Institute has released its annual survey of the cost of long-term care services, including nursing homes, assisted living facilities, adult day programs, and home care. And the news is not good. On average, provider costs rose far faster than the rate of inflation. The only exceptions were home care services, where costs were unchanged from 2010 [...]
It may be possible to design a modest government-run voluntary long-term care insurance program that is financially viable. It isn't easy, would probably enroll only about 2 million people, and would take some substantial revisions to the program as imagined by the Community Living Assistance Services & Supports (CLASS)Act. But it might be possible. That at least is the message buried in the reams of documents released [...]
After spending 19 months trying to figure out how to make the Community Living Assistance Services and Supports (CLASS) Act work, the Obama Administration has abandoned the landmark national long-term care insurance program that was included in the 2010 health reform law. But it was easier for the Administration and vocal GOP critics of the program to kill CLASS than [...]
Frail seniors, as well as adults with disabilities, often need help with routine medical care such as taking pills, receiving injections, getting oxygen, or managing catheters. Traditionally, this assistance has been provided only by nurses. But, especially for people living at home or even in assisted living facilities, having a nurse provide this routine care is prohibitively expensive and can lead to long delays in [...]
Hospital-based palliative care programs that focus on patient comfort rather than simply medical treatment are growing rapidly. And for patients, their families, and hospitals themselves, that is a very good thing. A new study by the National Palliative Care Research Center finds the number of these important new programs has grown from 600 to more than 1500 over the past decade. Of the nation's [...]
Skilled nursing facilities whose patients are too frequently admitted to the hospital would face stiff new penalties according to the deficit reduction plan proposed by President Obama on Sept. 20. These admissions are often caused by falls, infections, or poor medication management. Overall, as part of a broad deficit reduction plan, Obama would cut more than $300 billion from projected [...]
The Community Living Assistance Services and Supports (CLASS) Act, the national long-term care insurance program included in the 2010 health reform law, is on life-support. It is increasingly likely that the Obama Administration will never develop the actual insurance policies that were supposed to be available to consumers next year. On Wednesday, the Senate Appropriations Committee deleted all of the [...]
Republican critics of the CLASS Act--the national long-term care insurance program that was included in the 2010 health law-- have concocted a phony scandal about how the law passed. As I have written often, CLASS is deeply flawed (though well-intended). But there is a big difference between a poorly executed idea and a scandal. In a report that is as partisan as it is [...]