What should people living with dementia and their families take away from the recent data published on lecanemab, the Alzheimer’s drug developed by Biogen and the Japanese firm Eisai? The drugmakers’ announcement of their Phase 3 trial results got lots of attention in the popular press. Some stories heralded the drug as a “breakthough.” But even experts disagree about the [...]
The Covid-19 pandemic shined a light on how hard it is for long-term care facilities such as nursing homes and assisted living facilities to balance residents’ health risks with their desire for independence and autonomy. A few have found the secret sauce. Most have not. A new study by the RAND Corporation, a California research firm, shows how facilities can [...]
The federal government has suspended for two years its sale of long-term care insurance policies to its employees. Some industry experts question whether the program ever will return in its current form. The long-running initiative, called the Federal Long Term Care Insurance Program (FLTCIP), was halted when John Hancock Life & Health Insurance Company, the carrier that operated the program, [...]
What will last Tuesday’s election mean for older adults and their families? A slim Democratic majority in the Senate combined with what is likely to be narrow Republican control of the House likely means no new legislative initiatives will pass Congress in 2023. The Biden Administration’s ambitious plan to support frail older adults and their families is dead, at least [...]
It Is Medicare open-enrollment season. And retirees are confronting the usual confusion about what to do. Perhaps the biggest question: Should I enroll in a Medicare Advantage managed care plan or in traditional, fee-for-service Medicare? Like almost everything in the world of insurance, the answer is: It depends. In 2022, almost half of all Medicare beneficiaries were enrolled in MA [...]
Suddenly, Social Security reform is back in the news. For all the wrong reasons, perhaps. But at least politicians are talking about it. And that’s a good thing. After all, in only about a dozen years, the Social Security Old Age trust fund will be insolvent and able to pay only about three-quarters of its promised benefits. Despite that looming [...]
When Congress returns for a short post-election session, one item on its to-do list is major retirement savings legislation that has broad bipartisan support. One feature of both House and Senate bills: Expanding a deferred annuity called a Qualified Longevity Annuity Contract (QLAC). Both bills would increase the allowable size of QLACs. That might make them more attractive to some [...]
Your mom has been hospitalized for two weeks following a stroke. One morning, she’s told she’ll be discharged by the end of the day. Mom calls you in a panic. You rush to the hospital and ask for advice. Instead, you get a much-copied list of local skilled nursing facilities and a wave good-by. This scene is played out thousands [...]
Critics of Medicaid’s long-term services and supports (LTSS) program often complain that it is so poorly designed that lavishes benefits on wealthy retirees and wastes billions of dollars in taxpayer money. Some people do abuse the system. And they should be stopped. But the real problem with Medicaid LTSS is that in many states its benefits are so paltry that [...]
A great misconception of aging in America is the belief that Medicare will pay for your health care needs in old age. It won’t. It will pay for some of those medical costs. But a typical senior can expect to foot the bill for a substantial portion of their health care, even if they are enrolled in Medicare. Half of [...]